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General NPI Number Information
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NPI Number | 1699058198
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Entity Type | Organization
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Legal Business Name | A & T PRIVATE CARE SERVICES
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Dates
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Enumeration Date | 09/21/2011
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 17116 SPRENGER AVE
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City | EASTPOINTE
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State | MI
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Zip | 48021-4501
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Country | US
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Telephone | 586-404-5243
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Fax | 586-777-4159
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Provider Business Mailing Address
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Address Line | 17116 SPRENGER AVE
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City | EASTPOINTE
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State | MI
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Zip | 48021-4501
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Country | US
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Telephone | 586-404-5243
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Fax | 586-777-4159
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BEVERLY MANLEY
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Credential | BAHS
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Telephone | 586-404-5243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 251E00000X
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License Number State | MI
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