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General NPI Number Information
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NPI Number | 1578210977
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Entity Type | Individual
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Provider Name | JAMACIA LOVE WASHINGTON
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Gender | Female
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Dates
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Enumeration Date | 03/04/2022
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Last Update Date | 03/04/2022
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Provider Practice Location Address
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Address Line | 290 CASSIA CT
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City | CANTON
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State | MI
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Zip | 48187-4589
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Country | US
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Telephone | 917-913-8714
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Fax |
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Provider Business Mailing Address
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Address Line | 3724 HERITAGE PKWY
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City | DEARBORN
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State | MI
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Zip | 48124-3180
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Country | US
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Telephone | 347-351-3021
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 000007302
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | MI000007302
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License Number State | MI
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