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General NPI Number Information
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NPI Number | 1942408083
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Entity Type | Organization
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Legal Business Name | BRIDGE HOME HEALTH CARE, INC
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 11/12/2010
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Provider Practice Location Address
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Address Line | 29200 VASSAR ST SUITE 540
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City | LIVONIA
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State | MI
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Zip | 48152-2193
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Country | US
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Telephone | 248-888-9412
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Fax | 248-888-9409
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Provider Business Mailing Address
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Address Line | 29200 VASSAR ST SUITE 540
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City | LIVONIA
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State | MI
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Zip | 48152-2193
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Country | US
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Telephone | 248-888-9412
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Fax | 248-888-9409
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Authorized Official
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Title or Position | PRESIDENT/ADMINISTRATOR
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Name | MR. NASIR M KHAN
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Credential |
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Telephone | 248-888-9412
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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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