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General NPI Number Information
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NPI Number | 1922810944
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Entity Type | Organization
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Legal Business Name | GARDEN CITY HOME HEALTH PLLC
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Dates
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Enumeration Date | 01/25/2025
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Last Update Date | 01/25/2025
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Provider Practice Location Address
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Address Line | 2035 MONROE ST
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City | DEARBORN
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State | MI
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Zip | 48124-2920
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Country | US
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Telephone | 313-320-8027
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Fax |
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Provider Business Mailing Address
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Address Line | 703 S ROSEDALE CT
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City | GROSSE POINTE WOODS
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State | MI
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Zip | 48236-1146
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Country | US
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Telephone | 313-320-8027
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. OMAR MOUABBI
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Credential | PHARMD
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Telephone | 313-944-1050
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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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