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General NPI Number Information
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NPI Number | 1376524090
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Entity Type | Organization
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Legal Business Name | BRONSON AT HOME
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 4625 BECKLEY RD BLDG 200, STE A
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City | BATTLE CREEK
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State | MI
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Zip | 49015-7956
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Country | US
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Telephone | 844-241-4663
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Fax | 269-660-3650
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Provider Business Mailing Address
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Address Line | 301 JOHN ST
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City | KALAMAZOO
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State | MI
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Zip | 49007-5295
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Country | US
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Telephone | 269-341-7806
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Fax |
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Authorized Official
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Title or Position | VP, BRONSON AT HOME
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Name | REBECCA EAST
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Credential |
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Telephone | 269-341-7806
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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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