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General NPI Number Information
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NPI Number | 1518409721
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Entity Type | Organization
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Legal Business Name | METRO DETROIT HOUSE CALLS
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Dates
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Enumeration Date | 11/07/2016
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Last Update Date | 11/07/2016
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Provider Practice Location Address
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Address Line | 630 NAVAHOE ST
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City | DETROIT
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State | MI
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Zip | 48215-3274
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Country | US
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Telephone | 313-622-0219
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Fax | 313-923-1880
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Provider Business Mailing Address
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Address Line | 630 NAVAHOE ST
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City | DETROIT
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State | MI
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Zip | 48215-3274
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Country | US
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Telephone | 313-622-0219
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Fax | 313-923-1880
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | DR. ARMAND ELLIOTT DIXON
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Credential | M.D.
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Telephone | 313-622-0219
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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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