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General NPI Number Information
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NPI Number | 1851699045
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Entity Type | Organization
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Legal Business Name | A NEW DAY
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Dates
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Enumeration Date | 03/11/2011
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Last Update Date | 06/20/2011
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Provider Practice Location Address
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Address Line | 17900 BONSTELLE AVE 28475 GREENFIELD SUITE 105
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3478
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Country | US
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Telephone | 248-219-7623
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Fax |
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Provider Business Mailing Address
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Address Line | 17900 BONSTELLE AVE 28475 GREENFIELD SUITE 105
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3478
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Country | US
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Telephone | 248-809-3257
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | REDENCE JOHNSON
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Credential | R.N
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Telephone | 248-219-7623
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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 | MI
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