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General NPI Number Information
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NPI Number | 1598936601
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Entity Type | Organization
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Legal Business Name | TOTAL LIVING HOME HEALTH CARE SERVICE, INC.
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 03/17/2008
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Provider Practice Location Address
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Address Line | 17697 W 10 MILE RD
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2727
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Country | US
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Telephone | 248-557-1965
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Fax | 248-557-2448
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Provider Business Mailing Address
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Address Line | 17697 W 10 MILE RD
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2727
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Country | US
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Telephone | 248-557-1965
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Fax | 248-557-2448
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Authorized Official
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Title or Position | PRESIDENT, CEO
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Name | MS. ELIZABETH PARR
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Credential |
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Telephone | 248-557-1965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State | MI
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