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General NPI Number Information
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NPI Number | 1770645277
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Entity Type | Organization
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Legal Business Name | DYNA CARE HOME HEALTH INC
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 27301 SCHOENHERR RD SUITE 103
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City | WARREN
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State | MI
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Zip | 48088-6649
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Country | US
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Telephone | 586-759-9971
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Fax | 586-759-8332
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Provider Business Mailing Address
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Address Line | 4800 W 129TH ST
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City | ALSIP
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State | IL
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Zip | 60803-3016
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ABITURAB BOXWALLA
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Credential |
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Telephone | 708-560-2925
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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 | MI
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