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General NPI Number Information
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NPI Number | 1427286442
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Entity Type | Organization
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Legal Business Name | MAGNUM HOME HEALTH CARE INC
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Dates
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Enumeration Date | 06/29/2009
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Last Update Date | 06/29/2009
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Provider Practice Location Address
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Address Line | 24123 GREENFIELD RD SUITE 305
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3125
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Country | US
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Telephone | 248-559-2200
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Fax | 248-559-2298
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Provider Business Mailing Address
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Address Line | 24123 GREENFIELD RD SUITE 305
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3125
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Country | US
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Telephone | 248-559-2200
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Fax | 248-559-2298
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SEEMA BARNWAL
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Credential | OTR
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Telephone | 248-559-2200
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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 | 02356F
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License Number State | MI
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