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General NPI Number Information
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NPI Number | 1679923569
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Entity Type | Organization
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Legal Business Name | G&M HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 06/21/2016
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Last Update Date | 06/21/2016
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Provider Practice Location Address
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Address Line | 1170 GREYSTONE PKWY
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City | TOLEDO
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State | OH
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Zip | 43615-7673
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Country | US
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Telephone | 419-270-4728
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Fax | 419-386-5252
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Provider Business Mailing Address
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Address Line | 1170 GREYSTONE PKWY
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City | TOLEDO
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State | OH
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Zip | 43615-7673
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Country | US
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Telephone |
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Fax | 419-386-5252
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Authorized Official
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Title or Position | CEO
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Name | SHANTE MITCHELL
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Credential |
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Telephone | 419-270-4728
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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 |
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