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General NPI Number Information
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NPI Number | 1427866896
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Entity Type | Organization
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Legal Business Name | NEW HOPE HOME HEMODIALYSIS SERVICES
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 18331 LANCASHIRE ST
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City | DETROIT
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State | MI
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Zip | 48223-1323
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Country | US
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Telephone | 775-200-5802
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Fax |
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Provider Business Mailing Address
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Address Line | 18331 LANCASHIRE ST
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City | DETROIT
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State | MI
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Zip | 48223-1323
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Country | US
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Telephone | 775-200-5802
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | AISHA FRANKLIN-ONYEUGWO
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Credential | LMSW
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Telephone | 775-200-5802
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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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