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General NPI Number Information
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NPI Number | 1861696007
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Entity Type | Organization
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Legal Business Name | WITH LOVE HOMECARE, INC.
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 02/28/2013
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Provider Practice Location Address
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Address Line | 11885 E 12 MILE RD SUITE 204B
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City | WARREN
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State | MI
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Zip | 48093-3474
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Country | US
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Telephone | 586-578-1158
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Fax | 586-578-1193
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Provider Business Mailing Address
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Address Line | 11885 E 12 MILE RD SUITE 204B
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City | WARREN
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State | MI
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Zip | 48093-3474
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Country | US
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Telephone | 586-578-1158
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Fax | 586-578-1193
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Authorized Official
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Title or Position | CEO OWNER
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Name | PIA LOVE-BUNDRENT
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Credential | R.N.
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Telephone | 586-578-1158
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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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