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General NPI Number Information
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NPI Number | 1528324696
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Entity Type | Organization
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Legal Business Name | EMMANUEL HOME HEALTH & HOSPICE CORPORATION
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Dates
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Enumeration Date | 04/03/2012
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Last Update Date | 04/03/2012
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Provider Practice Location Address
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Address Line | 2723 S STATE ST SUITE 150
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City | ANN ARBOR
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State | MI
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Zip | 48104-6188
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Country | US
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Telephone | 888-297-1614
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Fax |
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Provider Business Mailing Address
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Address Line | 2723 S STATE ST SUITE 150
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City | ANN ARBOR
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State | MI
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Zip | 48104-6188
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Country | US
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Telephone | 888-297-1614
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. DIANA MARTIN
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Credential |
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Telephone | 810-293-4901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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