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General NPI Number Information
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NPI Number | 1346690005
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Entity Type | Organization
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Legal Business Name | METICULOUS CARE
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Dates
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Enumeration Date | 06/14/2016
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Last Update Date | 06/14/2016
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Provider Practice Location Address
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Address Line | 15530 MIDDLEBELT RD
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City | LIVONIA
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State | MI
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Zip | 48154-3806
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Country | US
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Telephone | 734-821-1602
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Fax |
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Provider Business Mailing Address
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Address Line | 15530 MIDDLEBELT RD
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City | LIVONIA
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State | MI
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Zip | 48154-3806
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Country | US
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Telephone | 734-821-1602
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANGEL IZUAGBE
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Credential |
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Telephone | 734-245-5941
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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 | MI
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