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General NPI Number Information
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NPI Number | 1679580864
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Entity Type | Organization
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Legal Business Name | OAKWOOD HOME CARE SERVICES
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 12/30/2011
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Provider Practice Location Address
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Address Line | 1633 FAIRLANE CIR SUITE 100
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City | ALLEN PARK
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State | MI
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Zip | 48101-3660
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Country | US
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Telephone | 800-757-7711
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Fax | 313-996-3102
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Provider Business Mailing Address
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Address Line | 1633 FAIRLANE CIRCLE SUITE 100
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City | ALLEN PARK
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State | MI
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Zip | 48101-3660
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Country | US
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Telephone | 800-757-7711
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Fax | 313-996-3102
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KATHY L SOUPIS
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Credential | RN
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Telephone | 313-996-3023
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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 |
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License Number State | MI
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