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General NPI Number Information
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NPI Number | 1811283062
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Entity Type | Organization
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Legal Business Name | BELOVED HOSPICE CARE, LLC
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Dates
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Enumeration Date | 06/27/2011
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Last Update Date | 08/09/2011
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Provider Practice Location Address
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Address Line | 24634 5 MILE RD SUITE 35
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City | REDFORD
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State | MI
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Zip | 48239-3631
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Country | US
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Telephone | 313-550-3615
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Fax | 313-945-5815
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Provider Business Mailing Address
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Address Line | 24634 5 MILE RD SUITE 35
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City | REDFORD
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State | MI
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Zip | 48239-3631
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Country | US
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Telephone | 313-550-3615
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Fax | 313-945-5815
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ENREST U BARNABAS
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Credential |
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Telephone | 313-550-3615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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