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General NPI Number Information
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NPI Number | 1831962547
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Entity Type | Organization
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Legal Business Name | FOR YOUR LOVE ONES INC
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Dates
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Enumeration Date | 11/01/2023
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 33200 SCHOOLCRAFT RD STE 206
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City | LIVONIA
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State | MI
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Zip | 48150-1636
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Country | US
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Telephone | 678-892-6594
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 NEWNAN CROSSING BLVD E APT 905
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City | NEWNAN
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State | GA
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Zip | 30265-1591
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Country | US
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Telephone | 678-698-6587
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. KAHLFANI S NANTAMBU
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Credential |
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Telephone | 678-698-6587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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