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General NPI Number Information
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NPI Number | 1508201724
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Entity Type | Organization
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Legal Business Name | COMPLETE CARE, LLC
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 461 S MAIN ST
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City | PLYMOUTH
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State | MI
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Zip | 48170-1708
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Country | US
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Telephone | 248-561-4543
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Fax | 734-468-0138
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Provider Business Mailing Address
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Address Line | 461 S MAIN ST
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City | PLYMOUTH
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State | MI
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Zip | 48170-1708
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Country | US
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Telephone | 248-561-4543
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Fax | 734-468-0138
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | SANJAY SHARMA
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Credential |
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Telephone | 248-561-4543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | E18137
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | E18137
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License Number State | MI
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