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General NPI Number Information
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NPI Number | 1023891504
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Entity Type | Organization
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Legal Business Name | 1ST PROMPT HOME CARE
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Dates
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Enumeration Date | 08/17/2023
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 5677 BUFORD HWY NE STE 203
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City | DORAVILLE
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State | GA
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Zip | 30340-1242
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Country | US
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Telephone | 404-707-0631
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Fax |
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Provider Business Mailing Address
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Address Line | P O BOX 958158
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City | DULUTH
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State | GA
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Zip | 30095
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Country | US
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Telephone | 678-856-0802
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/DIRECTOR
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Name | MR. THEOPHILUS OHAYAGHA
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Credential |
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Telephone | 404-707-0631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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