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General NPI Number Information
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NPI Number | 1497882807
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Entity Type | Organization
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Legal Business Name | REVERENCE HOME HEALTH AND HOSPICE
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/29/2019
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Provider Practice Location Address
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Address Line | 37650 GARFIELD RD
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48036-2055
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Country | US
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Telephone | 800-248-2298
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Fax | 586-723-9455
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Provider Business Mailing Address
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Address Line | 37650 GARFIELD RD
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48036-2055
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Country | US
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Telephone | 800-248-2298
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Fax | 586-723-9455
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Authorized Official
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Title or Position | VP REVENUE CYCLE
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Name | MRS. STEVEN SCOTT
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Credential |
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Telephone | 408-657-2768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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