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General NPI Number Information
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NPI Number | 1528420262
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Entity Type | Organization
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Legal Business Name | VERONICA'S PRIVATE DUTY CARE & C.P.R TRAINING, LLC.
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | 20042 KINLOCH
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City | REDFORD
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State | MI
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Zip | 48240-1113
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Country | US
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Telephone | 313-627-1455
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Fax |
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Provider Business Mailing Address
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Address Line | 20042 KINLOCH
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City | REDFORD
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State | MI
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Zip | 48240-1113
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | VERONICA NEWMAN
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Credential | LPN
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Telephone | 216-659-9621
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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 | 4703115146
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License Number State | MI
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