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General NPI Number Information
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NPI Number | 1447154109
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Entity Type | Organization
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Legal Business Name | PROVIDENCE OF OHIO
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 28022 WEYMOUTH DR
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3267
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Country | US
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Telephone | 313-500-1899
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Fax |
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Provider Business Mailing Address
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Address Line | 47050 FIELDVIEW CT
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City | CANTON
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State | MI
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Zip | 48188-2182
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Country | US
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Telephone | 313-500-1899
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | RENAY L. PATTERSON SCOTT
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Credential | BS
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Telephone | 313-500-1899
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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 | NULL
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