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General NPI Number Information
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NPI Number | 1881398527
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Entity Type | Organization
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Legal Business Name | S.C.S. HOME CARE LLC
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 26 E SANILAC RD
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City | SANDUSKY
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State | MI
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Zip | 48471-1136
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Country | US
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Telephone | 810-627-1778
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Fax |
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Provider Business Mailing Address
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Address Line | 2080 CROWN RD
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City | FILION
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State | MI
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Zip | 48432-9738
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Country | US
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Telephone | 810-627-1778
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUAN GABRIEL SALAZAR JR.
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Credential |
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Telephone | 810-627-1778
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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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