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General NPI Number Information
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NPI Number | 1548311616
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Entity Type | Organization
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Legal Business Name | THOMAS HOME CARE
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 134 W UNIVERSITY DR SUITE #103
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City | ROCHESTER
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State | MI
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Zip | 48307-1951
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Country | US
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Telephone | 248-220-1295
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Fax | 248-650-1994
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Provider Business Mailing Address
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Address Line | 5601 ASTER DR
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City | TROY
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State | MI
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Zip | 48085-3871
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Country | US
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Telephone | 248-220-1295
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Fax | 248-650-1994
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Authorized Official
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Title or Position | OWNER
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Name | SAMIR W HANNA
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Credential | PHD P. T.
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Telephone | 248-220-1295
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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 | 5501005736
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License Number State | MI
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