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General NPI Number Information
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NPI Number | 1902046436
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Entity Type | Organization
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Legal Business Name | INTERNATIONA HOME HEALTH CARE
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Dates
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Enumeration Date | 02/24/2009
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Last Update Date | 02/24/2009
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Provider Practice Location Address
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Address Line | 15565 NORTHLAND DR SUITE 402B
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City | SOUTHFIELD
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State | MI
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Zip | 48075
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Country | US
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Telephone | 313-461-7861
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Fax |
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Provider Business Mailing Address
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Address Line | 15565 NORTHLAND DR SUITE 402B
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City | SOUTHFIELD
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State | MI
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Zip | 48075
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Country | US
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Telephone | 313-461-7861
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | HAROLD BRAGGS III
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Credential |
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Telephone | 313-467-7861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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