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General NPI Number Information
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NPI Number | 1366296915
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Entity Type | Individual
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Provider Name | AIISHA HESTER
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Gender | Female
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Dates
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Enumeration Date | 04/11/2024
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Last Update Date | 04/11/2024
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Provider Practice Location Address
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Address Line | 2261 GLENCOE HILLS DR APT 5
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City | ANN ARBOR
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State | MI
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Zip | 48108-3008
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Country | US
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Telephone | 517-312-7614
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Fax |
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Provider Business Mailing Address
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Address Line | 211 STEVENS DR APT 201
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City | YPSILANTI
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State | MI
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Zip | 48197-4525
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Country | US
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Telephone | 517-312-7614
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 7824388
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License Number State | MI
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