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General NPI Number Information
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NPI Number | 1346758414
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Entity Type | Individual
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Provider Name | SADE AUSTIN
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Gender | Female
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Dates
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Enumeration Date | 01/11/2018
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 2316 PERKINS ST # 2
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City | SAGINAW
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State | MI
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Zip | 48601-1518
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Country | US
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Telephone | 989-501-4968
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Fax |
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Provider Business Mailing Address
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Address Line | 3215 OSLER CT
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City | SAGINAW
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State | MI
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Zip | 48602-3219
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Country | US
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Telephone | 989-501-4968
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 8324554
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License Number State | MI
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