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General NPI Number Information
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NPI Number | 1669720603
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Entity Type | Organization
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Legal Business Name | SINCERE HOME CARE SERVICE LLC
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Dates
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Enumeration Date | 08/23/2012
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Last Update Date | 08/23/2012
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Provider Practice Location Address
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Address Line | 28855 PLYMOUTH RD
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City | LIVONIA
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State | MI
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Zip | 48150-2385
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Country | US
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Telephone | 614-404-5845
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Fax |
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Provider Business Mailing Address
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Address Line | 28855 PLYMOUTH RD
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City | LIVONIA
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State | MI
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Zip | 48150-2385
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Country | US
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Telephone | 614-404-5845
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. ABDULKADIR ADEN
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Credential |
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Telephone | 614-404-5845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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