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General NPI Number Information
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NPI Number | 1689631954
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Entity Type | Organization
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Legal Business Name | FOCUS CARE HOSPICE, INC
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 01/12/2011
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Provider Practice Location Address
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Address Line | 21411 CIVIC CENTER DR SUITE 101
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City | SOUTHFIELD
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State | MI
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Zip | 48076-3910
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Country | US
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Telephone | 248-569-4610
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Fax | 248-569-4764
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Provider Business Mailing Address
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Address Line | 134 N MCLEAN BLVD
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City | ELGIN
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State | IL
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Zip | 60123-5169
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Country | US
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Telephone | 847-695-1431
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Fax | 847-329-9215
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. SETH GILLMAN
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Credential |
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Telephone | 248-569-4610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 251G0000X
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License Number State | MI
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