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General NPI Number Information
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NPI Number | 1962649475
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Entity Type | Organization
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Legal Business Name | BEDSIDE ASSISTANT CARE
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Dates
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Enumeration Date | 01/21/2009
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Last Update Date | 01/18/2012
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Provider Practice Location Address
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Address Line | 22992 PARK PLACE DR
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City | SOUTHFIELD
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State | MI
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Zip | 48033-2661
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Country | US
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Telephone | 248-773-6338
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Fax |
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Provider Business Mailing Address
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Address Line | 22992 PARK PLACE DR
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City | SOUTHFIELD
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State | MI
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Zip | 48033-2661
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Country | US
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Telephone | 248-773-6338
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Fax |
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Authorized Official
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Title or Position | OWNER AND PRESIDENT
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Name | MS. WHITNEY B. LINDSAY-JONES
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Credential | CNA
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Telephone | 248-773-6338
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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 | 230013837961007
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License Number State | MI
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