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General NPI Number Information
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NPI Number | 1366687022
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Entity Type | Organization
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Legal Business Name | SUN HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 12/10/2008
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Last Update Date | 12/10/2008
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Provider Practice Location Address
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Address Line | 21819 W 9 MILE RD SUITE 100B
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3216
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Country | US
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Telephone | 248-866-8745
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Fax | 248-352-3320
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Provider Business Mailing Address
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Address Line | 21819 W 9 MILE RD SUITE 100B
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3216
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Country | US
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Telephone | 248-866-8745
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Fax | 248-352-3320
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. SALEEM BIN SHAKOOR
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Credential | RPT
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Telephone | 248-866-8745
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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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