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General NPI Number Information
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NPI Number | 1902019490
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Entity Type | Organization
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Legal Business Name | NORTH OAKLAND HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7736 ORTONVILLE RD SUITE B
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City | CLARKSTON
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State | MI
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Zip | 48348-4483
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Country | US
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Telephone | 248-625-5865
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Fax | 248-625-9141
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Provider Business Mailing Address
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Address Line | 7736 ORTONVILLE RD SUITE B
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City | CLARKSTON
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State | MI
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Zip | 48348-4483
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Country | US
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Telephone | 248-625-5865
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Fax | 248-625-9141
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MR. LANCE MORGAN BAYLIS
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Credential | J.D.
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Telephone | 248-625-5865
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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 | 23-7122
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License Number State | MI
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