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General NPI Number Information
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NPI Number | 1407870009
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Entity Type | Organization
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Legal Business Name | HOMEBOUND WELLNESS SOLUTIONS, P.C.
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 5828 JEFFERSON AVE
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City | MUSKEGON
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State | MI
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Zip | 49442-1958
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Country | US
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Telephone | 231-457-7735
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Fax |
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Provider Business Mailing Address
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Address Line | 5828 JEFFERSON AVE
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City | MUSKEGON
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State | MI
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Zip | 49442-1958
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Country | US
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Telephone | 231-457-7735
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Fax | 231-788-3956
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. KATHY LYNN ROSEMA
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Credential | D.O.
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Telephone | 231-457-7735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | MI
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