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General NPI Number Information
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NPI Number | 1043451826
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Entity Type | Organization
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Legal Business Name | ACCUMED HOME HEALTH OF GEORGIA, INC
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Dates
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Enumeration Date | 03/09/2009
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Last Update Date | 07/11/2012
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Provider Practice Location Address
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Address Line | 3200 HIGHLANDS PKWY SE SUITE 120
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City | SMYRNA
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State | GA
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Zip | 30082-5166
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Country | US
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Telephone | 770-433-8486
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Fax | 770-433-9225
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Provider Business Mailing Address
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Address Line | 5959 S SHERWOOD FOREST BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70816-6038
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Country | US
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Telephone | 225-292-2031
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. WILLIAM BORNE
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Credential |
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Telephone | 225-292-2031
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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 | 033-263
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License Number State | GA
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