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General NPI Number Information
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NPI Number | 1639223423
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Entity Type | Organization
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Legal Business Name | PATIENT FIRST HOME CARE, INC.
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 08/01/2014
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Provider Practice Location Address
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Address Line | 2660 HORIZON DR SE SUITE 130
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-7527
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Country | US
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Telephone | 616-608-6246
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Fax | 616-608-6284
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Provider Business Mailing Address
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Address Line | 2660 HORIZON DR SE SUITE 130
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-7527
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Country | US
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Telephone | 616-608-6246
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Fax | 616-608-6284
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WASIM IQBAL
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Credential |
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Telephone | 616-608-6246
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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 | 23-7616
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License Number State | MI
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