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General NPI Number Information
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NPI Number | 1912186941
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Entity Type | Organization
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Legal Business Name | FIRST HERITAGE HEALTH CARE SERVICES INC
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 10/26/2007
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Provider Practice Location Address
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Address Line | 29430 MARIMOOR DR
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City | SOUTHFIELD
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State | MI
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Zip | 48076-5237
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Country | US
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Telephone | 248-346-0336
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Fax | 248-968-9715
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Provider Business Mailing Address
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Address Line | 29430 MARIMOOR DR
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City | SOUTHFIELD
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State | MI
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Zip | 48076-5237
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Country | US
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Telephone | 248-346-0336
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Fax | 248-968-9715
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. IRENE O OSHIYOYE
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Credential | RN, MSN,MBA
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Telephone | 248-346-0336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 251J00000X
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 251E00000X
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License Number State | MI
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