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General NPI Number Information
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NPI Number | 1922450931
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Entity Type | Organization
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Legal Business Name | GRACEFUL HANDS OF CARE
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Dates
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Enumeration Date | 07/01/2016
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | 17549 SILVER MAPLE ST
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2811
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Country | US
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Telephone | 859-248-8018
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Fax | 844-332-3303
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Provider Business Mailing Address
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Address Line | PO BOX 32339
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City | DETROIT
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State | MI
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Zip | 48232-0339
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Country | US
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Telephone | 859-248-8018
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Fax | 844-332-3303
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Authorized Official
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Title or Position | OWNER
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Name | MR. HERSHEL DUNN JR.
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Credential |
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Telephone | 859-248-8018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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