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General NPI Number Information
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NPI Number | 1346870003
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Entity Type | Individual
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Provider Name | JENNIFER ATKINSON
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Gender | Female
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Dates
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Enumeration Date | 01/22/2020
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 20600 EUREKA RD STE 715
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City | TAYLOR
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State | MI
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Zip | 48180-5376
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Country | US
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Telephone | 734-256-7535
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Fax | 734-261-7835
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Provider Business Mailing Address
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Address Line | 20600 EUREKA RD STE 715
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City | TAYLOR
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State | MI
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Zip | 48180-5376
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Country | US
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Telephone | 734-256-7535
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Fax | 734-261-7835
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 07139U
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License Number State | MI
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