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General NPI Number Information
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NPI Number | 1679463640
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Entity Type | Organization
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Legal Business Name | WTG HOME HEALTH CARE
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 13942 SAINT MARYS ST APT 1
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City | DETROIT
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State | MI
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Zip | 48227-1724
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Country | US
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Telephone | 313-612-0878
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Fax |
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Provider Business Mailing Address
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Address Line | 13942 SAINT MARYS ST APT 1
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City | DETROIT
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State | MI
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Zip | 48227-1724
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MR. ALVIN L MILLER II
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Credential | CCHW
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Telephone | 313-612-0878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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