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General NPI Number Information
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NPI Number | 1730493610
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Entity Type | Organization
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Legal Business Name | AMELIA'S LITTLE TREASURES
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Dates
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Enumeration Date | 08/03/2010
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Last Update Date | 08/03/2010
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Provider Practice Location Address
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Address Line | 9903 HUBBELL
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City | DETROIT
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State | MI
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Zip | 48227
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Country | US
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Telephone | 313-826-8876
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Fax |
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Provider Business Mailing Address
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Address Line | 9903 HUBBELL ST
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City | DETROIT
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State | MI
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Zip | 48227-2703
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Country | US
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Telephone | 313-826-8876
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Fax |
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Authorized Official
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Title or Position | OWNER/EXECUTIVE DIRECTOR
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Name | ROSALYN JACKSON
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Credential | MS
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Telephone | 313-826-8876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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