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General NPI Number Information
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NPI Number | 1457129405
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Entity Type | Organization
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Legal Business Name | COMMONWEALTH HOME HEALTH NETWORK
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Dates
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Enumeration Date | 12/19/2023
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 22311 EUREKA RD
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City | TAYLOR
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State | MI
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Zip | 48180-6016
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Country | US
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Telephone | 313-791-7094
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Fax |
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Provider Business Mailing Address
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Address Line | 22800 HALL RD STE 800
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48036-4805
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Country | US
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Telephone | 586-239-0263
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MR. ANTHONY A IAQUINTO
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Credential |
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Telephone | 313-791-7094
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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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