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General NPI Number Information
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NPI Number | 1760663637
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Entity Type | Organization
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Legal Business Name | ACHIEVE HOME HEALTH CARE,LLC
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 01/17/2008
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Provider Practice Location Address
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Address Line | G 5245 W PIERSON RD SUITE 1
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City | FLUSHING
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State | MI
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Zip | 48433-2411
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Country | US
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Telephone | 810-230-9881
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Fax | 810-230-9882
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Provider Business Mailing Address
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Address Line | G 5245 W PIERSON RD SUITE 1
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City | FLUSHING
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State | MI
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Zip | 48433-2411
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Country | US
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Telephone | 810-230-9881
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Fax | 810-230-9882
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. SUBHASIS MOHANTY
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Credential | R.P.T.
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Telephone | 810-230-9881
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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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