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General NPI Number Information
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NPI Number | 1548697758
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Entity Type | Organization
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Legal Business Name | ABOVE & BEYOND HOME CARE SOLUTIONS, L.L.C.
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Dates
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Enumeration Date | 10/02/2013
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Last Update Date | 03/24/2014
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Provider Practice Location Address
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Address Line | 22071 SYLVAN AVE
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City | BROWNSTOWN
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State | MI
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Zip | 48134-9008
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Country | US
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Telephone | 313-613-2992
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Fax | 734-795-6047
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Provider Business Mailing Address
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Address Line | PO BOX 28572
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City | DETROIT
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State | MI
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Zip | 48228-0572
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Country | US
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Telephone | 313-613-2992
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Fax | 734-795-6047
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRIAN MATSEY
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Credential |
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Telephone | 313-613-2992
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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 | MI
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