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General NPI Number Information
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NPI Number | 1669750253
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Entity Type | Organization
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Legal Business Name | NU-WAVE HOME HEALTH CARE, INC
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Dates
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Enumeration Date | 07/29/2011
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Last Update Date | 11/03/2016
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Provider Practice Location Address
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Address Line | 32540 SCHOOLCRAFT RD SUITE # 230
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City | LIVONIA
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State | MI
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Zip | 48150-4305
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Country | US
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Telephone | 734-956-3211
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Fax | 734-956-3212
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Provider Business Mailing Address
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Address Line | 32540 SCHOOLCRAFT RD SUITE # 230
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City | LIVONIA
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State | MI
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Zip | 48150-4305
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Country | US
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Telephone | 734-956-3211
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Fax | 734-956-3212
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Authorized Official
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Title or Position | CEO
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Name | MR. OSMANY ANDRADES VALDES
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Credential |
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Telephone | 734-956-3211
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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 | 03696U
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License Number State | MI
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