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General NPI Number Information
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NPI Number | 1902947930
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Entity Type | Organization
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Legal Business Name | DIAMOND HOME CARE SERVICES, INC.
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Dates
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Enumeration Date | 02/11/2007
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Last Update Date | 09/21/2010
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Provider Practice Location Address
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Address Line | 4829 E BELTLINE AVE NE SUITE 7C
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City | GRAND RAPIDS
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State | MI
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Zip | 49525-9747
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Country | US
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Telephone | 616-241-6670
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Fax | 616-475-9889
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Provider Business Mailing Address
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Address Line | 4829 E BELTLINE AVE NE SUITE 7C
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City | GRAND RAPIDS
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State | MI
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Zip | 49525-9747
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Country | US
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Telephone | 616-241-6670
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Fax | 616-475-9889
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANIEL DIAMOND
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Credential | OTR
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Telephone | 616-241-6670
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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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