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General NPI Number Information
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NPI Number | 1659379097
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Entity Type | Organization
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Legal Business Name | NORTH WOODS HOME NURSING
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 226 S CEDAR ST
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City | MANISTIQUE
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State | MI
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Zip | 49854-1426
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Country | US
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Telephone | 906-341-6963
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Fax | 906-341-2490
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Provider Business Mailing Address
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Address Line | PO BOX 307
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City | MANISTIQUE
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State | MI
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Zip | 49854-0307
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Country | US
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Telephone | 906-341-6963
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Fax | 906-341-2490
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CALEB VARONI
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Credential |
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Telephone | 800-852-3736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 11921
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License Number State | MI
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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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