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General NPI Number Information
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NPI Number | 1508033549
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Entity Type | Organization
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Legal Business Name | PARTNERS IN LIFE
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 05/09/2008
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Provider Practice Location Address
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Address Line | 576 BAKER STREET
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City | HIGHLAND
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State | MI
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Zip | 48357
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Country | US
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Telephone | 810-923-0200
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Fax | 615-302-3262
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Provider Business Mailing Address
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Address Line | 576 BAKER STREET
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City | HIGHLAND
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State | MI
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Zip | 48357
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Country | US
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Telephone | 810-923-0200
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Fax | 615-302-3262
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | BRENDA TORNOW
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Credential | PROVIDER
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Telephone | 810-923-0200
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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 | 28-FY07
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License Number State | MI
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