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NPI 1639331564

NPI 1639331564 : NEW ERA SERVICES, LLC : SOUTHFIELD, MI

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General NPI Number Information
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    NPI Number           |    1639331564
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW ERA SERVICES, LLC 
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Dates
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    Enumeration Date     |    07/01/2008
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    27600 NORTHWESTERN HWY SUITE 205
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    City                 |    SOUTHFIELD
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    State                |    MI
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    Zip                  |    48034-2184
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    Country              |    US
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    Telephone            |    248-354-9707
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    Fax                  |    248-223-0811
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Provider Business Mailing Address
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    Address Line         |    27600 NORTHWESTERN HWY SUITE 205
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    City                 |    SOUTHFIELD
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    State                |    MI
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    Zip                  |    48034-2184
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    Country              |    US
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    Telephone            |    248-354-9707
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    Fax                  |    248-223-0811
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MRS. BEATRICE WALKER CULTON 
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    Credential           |    
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    Telephone            |    248-830-6835
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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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