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General NPI Number Information
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NPI Number | 1942944475
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Entity Type | Organization
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Legal Business Name | THE HUSINKA GROUP LLC
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Dates
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Enumeration Date | 04/21/2022
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Last Update Date | 03/01/2024
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Provider Practice Location Address
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Address Line | 9095 RICKETT RD
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City | BRIGHTON
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State | MI
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Zip | 48116-8254
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Country | US
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Telephone | 248-792-0564
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Fax |
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Provider Business Mailing Address
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Address Line | 9864 E GRAND RIVER AVE STE 110
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City | BRIGHTON
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State | MI
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Zip | 48116-1999
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Country | US
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Telephone | 248-792-0564
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Fax | 810-222-8385
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Authorized Official
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Title or Position | OWNER
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Name | MR. MATTHEW C HUSINKA
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Credential |
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Telephone | 248-792-0564
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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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