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General NPI Number Information
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NPI Number | 1518061225
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Entity Type | Organization
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Legal Business Name | ANNOINTED HOME CARE INC
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 10/07/2021
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Provider Practice Location Address
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Address Line | 1175 BALDWIN AVE
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City | PONTIAC
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State | MI
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Zip | 48340-2709
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Country | US
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Telephone | 248-443-5700
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Fax | 248-443-5740
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Provider Business Mailing Address
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Address Line | 1175 BALDWIN AVE
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City | PONTIAC
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State | MI
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Zip | 48340-2709
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Country | US
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Telephone | 248-443-5700
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Fax |
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Authorized Official
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Title or Position | TREASURY
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Name | LAZON JOHNSON
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Credential |
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Telephone | 313-461-5385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 237281
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License Number State | MI
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