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General NPI Number Information
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NPI Number | 1841033073
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Entity Type | Organization
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Legal Business Name | PERFECTING INDEPENDENCE
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Dates
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Enumeration Date | 06/15/2024
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Last Update Date | 06/15/2024
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Provider Practice Location Address
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Address Line | 14170 ASBURY PARK
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City | DETROIT
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State | MI
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Zip | 48227-1367
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Country | US
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Telephone | 248-797-8898
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Fax |
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Provider Business Mailing Address
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Address Line | 15900 W 10 MILE RD STE 211
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2079
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Country | US
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Telephone | 248-797-8898
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | LATICIA BLACK
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Credential | RN
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Telephone | 248-797-8898
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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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