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General NPI Number Information
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NPI Number | 1992943948
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Entity Type | Organization
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Legal Business Name | SBT HOMECARE SERVICES LLC
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Dates
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Enumeration Date | 01/29/2009
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Last Update Date | 01/29/2009
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Provider Practice Location Address
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Address Line | 31875 PLYMOUTH RD # 10
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City | LIVONIA
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State | MI
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Zip | 48150-1907
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Country | US
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Telephone | 734-293-0739
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Fax | 734-293-0728
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Provider Business Mailing Address
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Address Line | 31875 PLYMOUTH RD # 10
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City | LIVONIA
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State | MI
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Zip | 48150-1907
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Country | US
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Telephone | 734-293-0739
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Fax | 734-293-0728
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Authorized Official
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Title or Position | OWNER
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Name | MR. TAUSIF AHMAD
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Credential |
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Telephone | 734-293-0739
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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 | MI
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