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General NPI Number Information
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NPI Number | 1649810755
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Entity Type | Organization
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Legal Business Name | OUR SYNCERE HEARTS LLC
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Dates
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Enumeration Date | 01/07/2020
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Last Update Date | 01/07/2020
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Provider Practice Location Address
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Address Line | 5836 N MARSH BANK LN APT 203
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City | CLARKSTON
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State | MI
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Zip | 48346-3098
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Country | US
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Telephone | 248-383-5268
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Fax |
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Provider Business Mailing Address
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Address Line | 5836 N MARSH BANK LN APT 203
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City | CLARKSTON
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State | MI
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Zip | 48346-3098
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Country | US
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Telephone | 248-383-5268
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. ZENO STAGGER
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Credential |
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Telephone | 248-238-7970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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