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NPI 1699071175

NPI 1699071175 : BARRY & BARRY HOLDINGS, INC. : WIXOM, MI

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General NPI Number Information
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    NPI Number           |    1699071175
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    Entity Type          |    Organization 
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    Legal Business Name  |    BARRY & BARRY HOLDINGS, INC. 
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Dates
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    Enumeration Date     |    02/01/2011
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    Last Update Date     |    02/01/2011
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Provider Practice Location Address
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    Address Line         |    28004 CENTER OAKS CT SUITE 204
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    City                 |    WIXOM
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    State                |    MI
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    Zip                  |    48393-3360
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    Country              |    US
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    Telephone            |    248-305-1888
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    Fax                  |    248-406-4362
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Provider Business Mailing Address
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    Address Line         |    28004 CENTER OAKS CT SUITE 204
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    City                 |    WIXOM
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    State                |    MI
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    Zip                  |    48393-3360
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    Country              |    US
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    Telephone            |    248-305-1888
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    Fax                  |    248-406-4362
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Authorized Official
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    Title or Position    |    OWNER/OPERATOR
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    Name                 |    MS. DEBORAH A. BARRY 
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    Credential           |    
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    Telephone            |    248-305-1888
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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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Taxonomy #2
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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