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General NPI Number Information
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NPI Number | 1508068420
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Entity Type | Organization
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Legal Business Name | PROGRESSIVE THERAPEUTIC HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 06/03/2007
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Last Update Date | 11/19/2007
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Provider Practice Location Address
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Address Line | 721 N MACOMB ST SUITE 4
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City | MONROE
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State | MI
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Zip | 48162-2982
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Country | US
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Telephone | 734-678-5275
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Fax | 866-360-5812
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Provider Business Mailing Address
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Address Line | 721 N MACOMB ST SUITE 4
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City | MONROE
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State | MI
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Zip | 48162-2982
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Country | US
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Telephone | 734-678-5275
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Fax | 866-360-5812
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. AVTAR SHARMA
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Credential | RPT
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Telephone | 734-678-5275
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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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