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General NPI Number Information
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NPI Number | 1619558723
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Entity Type | Organization
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Legal Business Name | BASELINE HUMAN AND HEALTH SERVICES
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Dates
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Enumeration Date | 04/20/2021
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Last Update Date | 04/20/2021
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Provider Practice Location Address
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Address Line | 29615 GREENING ST
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2245
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Country | US
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Telephone | 248-325-7184
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Fax | 248-479-0320
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Provider Business Mailing Address
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Address Line | 29615 GREENING ST
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2245
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Country | US
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Telephone | 248-325-7184
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CAROLYN CARTER
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Credential |
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Telephone | 248-325-7184
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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 |
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License Number State |
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