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General NPI Number Information
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NPI Number | 1982973160
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Entity Type | Organization
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Legal Business Name | LEADING STAR HOME HEALTH INC
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Dates
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Enumeration Date | 12/18/2011
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Last Update Date | 12/18/2011
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Provider Practice Location Address
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Address Line | 24755 5 MILE RD SUITE# 203
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City | REDFORD
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State | MI
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Zip | 48239-3665
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Country | US
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Telephone | 313-538-1867
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Fax | 313-557-4103
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Provider Business Mailing Address
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Address Line | 24755 5 MILE RD SUITE# 203
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City | REDFORD
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State | MI
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Zip | 48239-3665
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Country | US
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Telephone | 313-538-1867
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Fax | 313-557-4103
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ADEL MUZAFFAR IQBAL
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Credential | PT
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Telephone | 313-538-1867
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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 |
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License Number State |
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