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General NPI Number Information
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NPI Number | 1831232008
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Entity Type | Organization
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Legal Business Name | HOMECARE NETWORK OF MICHIGAN INC.
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 29501 GREENFIELD RD SUITE 104
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2250
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Country | US
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Telephone | 248-752-3015
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Fax | 248-559-9378
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Provider Business Mailing Address
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Address Line | 29501 GREENFIELD RD SUITE 104
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2250
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Country | US
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Telephone | 248-752-3015
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Fax | 248-559-9378
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. IMRAN KHAN
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Credential |
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Telephone | 248-752-3015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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