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General NPI Number Information
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NPI Number | 1811814593
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Entity Type | Individual
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Provider Name | LAWANDA WILLINHAM
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Gender | Female
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 7781 BURNETTE ST
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City | DETROIT
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State | MI
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Zip | 48210-1009
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Country | US
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Telephone | 313-677-1904
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Fax |
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Provider Business Mailing Address
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Address Line | 13756 ALLONBY ST
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City | DETROIT
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State | MI
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Zip | 48227-3068
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Country | US
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Telephone | 313-677-1904
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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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