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General NPI Number Information
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NPI Number | 1962788943
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Entity Type | Organization
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Legal Business Name | S.M.E. HOMECARE PLUS LLC
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Dates
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Enumeration Date | 10/22/2011
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Last Update Date | 10/22/2011
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Provider Practice Location Address
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Address Line | 39667 GREENVIEW PL APT 6
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City | PLYMOUTH
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State | MI
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Zip | 48170-4562
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Country | US
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Telephone | 248-924-8893
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Fax |
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Provider Business Mailing Address
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Address Line | 39667 GREENVIEW PL APT 6
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City | PLYMOUTH
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State | MI
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Zip | 48170-4562
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Country | US
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Telephone | 248-924-8893
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Fax |
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Authorized Official
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Title or Position | CERTIFIED NURSE ASSISTANT
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Name | TOI MYCHELLE WHITFIELD
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Credential | CNA
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Telephone | 248-924-8893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #2
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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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