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General NPI Number Information
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NPI Number | 1740309277
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Entity Type | Organization
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Legal Business Name | HEALTH LINE HOME CARE, INC
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1711 MONROE ST SUITE A
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City | DEARBORN
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State | MI
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Zip | 48124-2914
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Country | US
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Telephone | 313-277-4002
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Fax | 313-561-4004
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Provider Business Mailing Address
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Address Line | 1711 MONROE ST SUITE A
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City | DEARBORN
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State | MI
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Zip | 48124-2914
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Country | US
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Telephone | 313-277-4002
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Fax | 313-561-4004
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Authorized Official
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Title or Position | PRESIDENT
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Name | GHULAM UDDIN
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Credential | PT
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Telephone | 313-277-4002
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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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