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General NPI Number Information
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NPI Number | 1699596874
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Entity Type | Organization
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Legal Business Name | ZOMACARE LLC
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 2888 E LONG LAKE RD STE 145
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City | TROY
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State | MI
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Zip | 48085-7010
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Country | US
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Telephone | 248-385-3578
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Fax | 248-963-0956
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Provider Business Mailing Address
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Address Line | 3013 DEBRA CT
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City | AUBURN HILLS
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State | MI
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Zip | 48326-2043
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Country | US
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Telephone | 586-914-0649
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FURAT J ZOMA
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Credential |
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Telephone | 586-914-0649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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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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