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General NPI Number Information
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NPI Number | 1063581528
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Entity Type | Organization
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Legal Business Name | WARE HEALTH CARE SERVICE INC
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1702 E BROAD AVE
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City | ALBANY
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State | GA
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Zip | 31705-2312
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Country | US
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Telephone | 229-436-5773
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Fax | 229-434-0070
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Provider Business Mailing Address
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Address Line | PO BOX 51581
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City | ALBANY
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State | GA
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Zip | 31703-1581
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Country | US
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Telephone | 229-436-5773
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Fax | 229-434-0070
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | MRS. WILLIE MAE WARE
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Credential |
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Telephone | 229-436-5773
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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 | 047-R-0014
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License Number State | GA
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