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General NPI Number Information
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NPI Number | 1326286329
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Entity Type | Organization
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Legal Business Name | PRINCIPAL HOME HEALTHCARE,LLC
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Dates
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Enumeration Date | 01/29/2009
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 33469 W 14 MILE RD STE 150
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City | FARMINGTON HILLS
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State | MI
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Zip | 48331-1521
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Country | US
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Telephone | 248-522-6721
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Fax | 248-522-2591
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Provider Business Mailing Address
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Address Line | 33469 W 14 MILE RD STE 150
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City | FARMINGTON HILLS
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State | MI
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Zip | 48331-1521
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Country | US
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Telephone | 248-522-6721
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Fax | 248-522-2591
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. AYHEM HAWASLI
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Credential |
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Telephone | 248-522-6721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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