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General NPI Number Information
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NPI Number | 1891742623
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Entity Type | Organization
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Legal Business Name | BABY BELOVED, INC.
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 233 FULTON ST E # 114E
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-3200
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Country | US
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Telephone | 616-485-6757
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Fax | 616-333-7710
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Provider Business Mailing Address
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Address Line | 335 BRIDGE ST NW APT 1400
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City | GRAND RAPIDS
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State | MI
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Zip | 49504-5393
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Country | US
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Telephone | 616-485-6757
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Fax | 616-333-7710
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KELLY JO WYSOCKI-EMERY
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Credential | RN
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Telephone | 616-485-6757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 5563030001
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License Number State | MI
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