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General NPI Number Information
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NPI Number | 1639116387
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Entity Type | Organization
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Legal Business Name | CARENET HOMECARE SERVICES, INC.
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 08/23/2018
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Provider Practice Location Address
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Address Line | 27733 SCHOENHERR RD
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City | WARREN
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State | MI
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Zip | 48088
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Country | US
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Telephone | 586-427-6640
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Fax | 586-427-6642
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Provider Business Mailing Address
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Address Line | 27733 SCHOENHERR RD
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City | WARREN
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State | MI
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Zip | 48088-6641
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Country | US
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Telephone | 586-427-6640
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Fax | 586-427-6642
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRADLEY EDWARD PUTVIN
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Credential | RPT
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Telephone | 586-427-6640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | MI
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