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General NPI Number Information
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NPI Number | 1659452803
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Entity Type | Organization
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Legal Business Name | EULICARE HOME HEALTH SERVICE, LLC
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 03/09/2011
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Provider Practice Location Address
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Address Line | 16213 W SEVEN MILE RD
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City | DETROIT
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State | MI
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Zip | 48235-0399
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Country | US
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Telephone | 313-566-5356
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Fax | 313-731-2008
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Provider Business Mailing Address
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Address Line | PO BOX 35399
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City | DETROIT
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State | MI
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Zip | 48235-0399
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Country | US
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Telephone | 313-566-5356
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Fax | 313-731-2008
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Authorized Official
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Title or Position | OWNER
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Name | MS. PATRICIA KPAN
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Credential |
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Telephone | 313-522-9399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | MI
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