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General NPI Number Information
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NPI Number | 1578188272
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Entity Type | Organization
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Legal Business Name | SWEET ROSIE GIRL, INC
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Dates
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Enumeration Date | 06/09/2020
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 124 PEARL ST
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City | YPSILANTI
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State | MI
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Zip | 48197-2663
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Country | US
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Telephone | 914-327-0949
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Fax |
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Provider Business Mailing Address
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Address Line | 6780 MUNGER RD
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City | YPSILANTI
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State | MI
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Zip | 48197-9027
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Country | US
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Telephone | 914-327-0949
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | KELLY LYNN WOODS
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Credential |
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Telephone | 914-327-0949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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