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General NPI Number Information
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NPI Number | 1356784987
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Entity Type | Organization
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Legal Business Name | DOUGLAS W POLLARD
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Dates
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Enumeration Date | 04/12/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 31422 SETTLERS WAY DR
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City | FLAT ROCK
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State | MI
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Zip | 48134-3332
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Country | US
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Telephone | 734-629-3175
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Fax |
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Provider Business Mailing Address
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Address Line | 31422 SETTLERS WAY DR
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City | FLAT ROCK
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State | MI
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Zip | 48134-3332
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE
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Name | DOUGLAS WILLIAM POLLARD
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Credential | LPN
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Telephone | 734-629-3175
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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 | 6
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License Number State | MI
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