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General NPI Number Information
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NPI Number | 1952788572
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Entity Type | Organization
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Legal Business Name | GREAT LAKES CARING HOSPICE E MI, LLC
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Dates
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Enumeration Date | 05/04/2015
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 20698 HALL RD
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1536
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Country | US
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Telephone | 586-221-3056
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Fax |
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Provider Business Mailing Address
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Address Line | 3010 LYNDON B JOHNSON FWY STE 1100
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City | DALLAS
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State | TX
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Zip | 75234-2712
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Country | US
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Telephone | 800-379-1600
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Fax | 903-537-8420
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Authorized Official
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Title or Position | COMPLIANCE AND PRIVACY OFFICER
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Name | KATIE MONASTIERE
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Credential |
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Telephone | 800-379-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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