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General NPI Number Information
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NPI Number | 1396129532
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Entity Type | Individual
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Provider Name | SARIETHA KING
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Gender | Female
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 07/17/2015
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Provider Practice Location Address
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Address Line | 14639 MANISTIQUE
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City | DETROIT
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State | MI
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Zip | 48213
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Country | US
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Telephone | 313-471-4408
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Fax | 313-469-6293
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Provider Business Mailing Address
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Address Line | 14639 MAMISTIQUE ST.
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City | DETROIT
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State | MI
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Zip | 48213
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Country | US
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Telephone | 313-471-4408
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Fax | 313-469-6293
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 47-1251705
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License Number State | MI
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