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General NPI Number Information
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NPI Number | 1497789689
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Entity Type | Organization
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Legal Business Name | AEGIS PRO CARE INC
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 10/25/2012
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Provider Practice Location Address
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Address Line | 30777 NORTHWESTERN HWY SUITE 202
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2549
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Country | US
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Telephone | 248-702-6080
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Fax | 248-702-6081
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Provider Business Mailing Address
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Address Line | PO BOX 252471
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48325-2471
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Country | US
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Telephone | 248-702-6080
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Fax | 248-702-6081
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Authorized Official
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Title or Position | CEO
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Name | IRENE OSHIYOYE
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Credential |
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Telephone | 248-702-6080
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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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