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General NPI Number Information
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NPI Number | 1942619259
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Entity Type | Organization
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Legal Business Name | LANE IN HOME THERAPY SERVICES, PLLC
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Dates
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Enumeration Date | 08/12/2014
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Last Update Date | 08/12/2014
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Provider Practice Location Address
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Address Line | 5514 LANCASTER LN
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City | COMMERCE TWP
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State | MI
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Zip | 48382-2887
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Country | US
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Telephone | 248-227-5583
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Fax | 248-387-3233
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Provider Business Mailing Address
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Address Line | 5514 LANCASTER LN
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City | COMMERCE TWP
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State | MI
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Zip | 48382-2887
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Country | US
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Telephone | 248-227-5583
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Fax | 248-387-3233
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | MR. JEFFREY C KRAUS
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Credential | OTL
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Telephone | 248-227-5583
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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 | 5201002641
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License Number State | MI
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