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General NPI Number Information
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NPI Number | 1972848836
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Entity Type | Organization
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Legal Business Name | HEDBERG HOMECARE SERVICES, INC.
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Dates
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Enumeration Date | 12/04/2012
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Last Update Date | 10/15/2014
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Provider Practice Location Address
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Address Line | 1035 CHARLEVOIX DR STE 300
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City | GRAND LEDGE
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State | MI
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Zip | 48837-2223
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Country | US
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Telephone | 517-622-1472
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Fax | 517-622-1474
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Provider Business Mailing Address
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Address Line | 1035 CHARLEVOIX DR STE 300
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City | GRAND LEDGE
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State | MI
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Zip | 48837-2223
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Country | US
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Telephone | 517-622-1472
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Fax | 517-622-1474
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | MR. MATTHEW COY HEDBERG
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Credential |
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Telephone | 517-999-7132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | MI
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