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General NPI Number Information
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NPI Number | 1972372621
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Entity Type | Organization
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Legal Business Name | QUEEN TEEMA'S LOVING ARMS LLC
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Dates
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Enumeration Date | 12/21/2023
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | 9631 MCKINNEY ST
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City | DETROIT
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State | MI
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Zip | 48224-2532
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Country | US
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Telephone | 313-740-2662
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Fax |
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Provider Business Mailing Address
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Address Line | 9631 MCKINNEY ST
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City | DETROIT
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State | MI
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Zip | 48224-2532
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Country | US
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Telephone | 313-740-2662
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Fax | 313-473-8053
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Authorized Official
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Title or Position | HOME CARE CHORE PROVIDER
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Name | NATIMA JOHNSON
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Credential |
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Telephone | 313-740-2662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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