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General NPI Number Information
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NPI Number | 1871871665
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Entity Type | Organization
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Legal Business Name | PROPER CARE, LLC
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Dates
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Enumeration Date | 07/27/2011
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Last Update Date | 05/21/2012
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Provider Practice Location Address
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Address Line | 85 PEACH ST
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City | PONTIAC
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State | MI
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Zip | 48342-2968
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Country | US
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Telephone | 248-481-9216
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Fax | 248-481-9345
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Provider Business Mailing Address
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Address Line | 5001 FIVE LAKES RD
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City | NORTH BRANCH
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State | MI
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Zip | 48461-8915
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Country | US
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Telephone | 248-481-9216
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. REGINA CAMPBELL
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Credential | LRT
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Telephone | 248-481-9216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | AS630310286
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AS630310286
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License Number State | MI
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