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General NPI Number Information
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NPI Number | 1801664248
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Entity Type | Organization
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Legal Business Name | DNA CHORE SERVICE LLC
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Dates
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Enumeration Date | 12/14/2023
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 17584 CHERRYLAWN ST
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City | DETROIT
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State | MI
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Zip | 48221-2508
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Country | US
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Telephone | 313-635-9101
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Fax | 800-848-8908
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Provider Business Mailing Address
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Address Line | PO BOX 210651
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City | AUBURN HILLS
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State | MI
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Zip | 48321-0651
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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 | OWNER
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Name | DIAMOND DOUGLASS
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Credential |
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Telephone | 313-477-7047
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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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