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General NPI Number Information
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NPI Number | 1619388519
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Entity Type | Organization
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Legal Business Name | BABIES R ANGELS 2
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 5467 S BEECH DALY ST # B
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48125-1709
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Country | US
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Telephone | 734-238-3512
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Fax | 734-902-5977
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Provider Business Mailing Address
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Address Line | 579 CASHEW ST
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City | WESTLAND
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State | MI
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Zip | 48186-7306
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Country | US
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Telephone | 734-238-3512
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Fax | 734-902-5977
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BEVERLY JEAN WALKER
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Credential |
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Telephone | 734-238-3512
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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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