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General NPI Number Information
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NPI Number | 1922789064
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Entity Type | Organization
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Legal Business Name | 1ST PREFERRED HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 07/31/2023
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 52188 VAN DYKE AVE STE 201
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City | SHELBY TWP
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State | MI
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Zip | 48316-3569
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Country | US
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Telephone | 248-342-5410
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Fax |
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Provider Business Mailing Address
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Address Line | 3962 MESA DR
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City | TROY
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State | MI
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Zip | 48083-6510
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | TEHMINA SIDDIQUI
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Credential |
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Telephone | 248-457-0067
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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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