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General NPI Number Information
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NPI Number | 1326405663
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Entity Type | Organization
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Legal Business Name | SOTERIA HOME HEALTH LLC
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Dates
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Enumeration Date | 01/18/2016
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Last Update Date | 01/18/2016
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Provider Practice Location Address
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Address Line | 8469 S SAGINAW ST
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City | GRAND BLANC
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State | MI
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Zip | 48439-2069
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Country | US
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Telephone | 810-625-8239
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Fax | 810-771-7612
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Provider Business Mailing Address
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Address Line | 8469 S SAGINAW ST
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City | GRAND BLANC
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State | MI
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Zip | 48439-2069
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Country | US
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Telephone | 810-625-8239
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Fax | 810-771-7612
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Authorized Official
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Title or Position | OWNER
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Name | JASON FAIRLESS
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Credential | RN
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Telephone | 248-390-6440
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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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