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General NPI Number Information
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NPI Number | 1356204762
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Entity Type | Organization
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Legal Business Name | AMETRINE HOME CARE LLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 43996 WOODWARD AVE STE 5
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-5049
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Country | US
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Telephone | 313-772-3208
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Fax |
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Provider Business Mailing Address
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Address Line | 7517 DOLPHIN
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City | REDFORD
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State | MI
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Zip | 48239-1077
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Country | US
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Telephone | 313-772-3208
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIA SEARS
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Credential | LPN
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Telephone | 313-772-3208
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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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