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General NPI Number Information
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NPI Number | 1629468046
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Entity Type | Organization
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Legal Business Name | PRECIOUS TIME NON MEDICAL HOME CARE/CONCIERGE SERVICES
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Dates
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Enumeration Date | 01/24/2015
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Last Update Date | 03/13/2015
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Provider Practice Location Address
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Address Line | 28800 VAN DYKE AVE SUITE 202
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City | WARREN
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State | MI
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Zip | 48093-2747
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Country | US
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Telephone | 586-920-2465
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Fax | 586-619-7394
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Provider Business Mailing Address
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Address Line | PO BOX 5395
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City | WARREN
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State | MI
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Zip | 48090-5395
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Country | US
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Telephone | 586-920-2465
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Fax | 586-619-7394
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Authorized Official
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Title or Position | OWNER
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Name | KATHERINE BRYANT
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Credential |
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Telephone | 586-920-2465
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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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