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General NPI Number Information
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NPI Number | 1952678492
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Entity Type | Organization
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Legal Business Name | PURPOSE HOME CARE
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Dates
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Enumeration Date | 11/29/2011
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Last Update Date | 11/29/2011
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Provider Practice Location Address
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Address Line | 14123 GLENWOOD DR
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48315-5424
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Country | US
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Telephone | 586-718-3775
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Fax | 586-722-0635
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Provider Business Mailing Address
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Address Line | 14123 GLENWOOD DRIVE
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48315-5424
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Country | US
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Telephone | 586-718-3775
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Fax | 586-722-0635
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Authorized Official
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Title or Position | EXECUTIVE
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Name | MR. DARRIUS D EDWARDS
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Credential |
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Telephone | 586-718-3775
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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 | 0064080
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License Number State | MI
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