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General NPI Number Information
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NPI Number | 1801346663
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Entity Type | Organization
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Legal Business Name | DIRECT CARE SOLUTION
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Dates
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Enumeration Date | 10/05/2016
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Last Update Date | 11/23/2016
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Provider Practice Location Address
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Address Line | 26070 CONTINENTAL CIR
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City | TAYLOR
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State | MI
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Zip | 48180-6901
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Country | US
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Telephone | 734-334-0077
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Fax |
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Provider Business Mailing Address
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Address Line | 26070 CONTINENTAL CIR
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City | TAYLOR
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State | MI
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Zip | 48180-6901
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Country | US
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Telephone | 734-334-0077
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TONISHA M BLACKMAN
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Credential |
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Telephone | 734-334-0077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 4703113460
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License Number State | MI
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