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General NPI Number Information
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NPI Number | 1053024216
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Entity Type | Organization
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Legal Business Name | IN-HOMECARE UNITED
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Dates
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Enumeration Date | 01/03/2023
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Last Update Date | 01/03/2023
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Provider Practice Location Address
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Address Line | 3455 PEACHTREE RD NE FL 5
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City | ATLANTA
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State | GA
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Zip | 30326-3254
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Country | US
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Telephone | 404-821-1603
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Fax |
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Provider Business Mailing Address
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Address Line | 514 BELLEVUE AVE UNIT 1643
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City | DUBLIN
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State | GA
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Zip | 31040-7763
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Country | US
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Telephone | 404-821-1603
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OBRIAN HESTER
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Credential | N/A
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Telephone | 404-821-1603
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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 |
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