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General NPI Number Information
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NPI Number | 1811662091
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Entity Type | Organization
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Legal Business Name | ABILITY PLUS PRIVATE DUTY, INC.
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Dates
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Enumeration Date | 08/10/2021
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Last Update Date | 08/10/2021
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Provider Practice Location Address
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Address Line | 6651 CLINTONVILLE RD
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City | CLARKSTON
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State | MI
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Zip | 48348-4913
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Country | US
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Telephone | 248-346-4515
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Fax | 248-250-5999
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Provider Business Mailing Address
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Address Line | 6651 CLINTONVILLE RD
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City | CLARKSTON
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State | MI
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Zip | 48348-4913
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Country | US
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Telephone | 248-346-4515
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Fax | 248-250-5999
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PUJA BORSO
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Credential | OTR, CLT
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Telephone | 248-346-4515
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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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