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General NPI Number Information
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NPI Number | 1063769933
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Entity Type | Organization
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Legal Business Name | BAYADA HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 08/10/2012
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Last Update Date | 04/26/2022
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Provider Practice Location Address
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Address Line | 9755 DOGWOOD RD SUITE 240
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City | ROSWELL
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State | GA
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Zip | 30075-7021
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Country | US
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Telephone | 678-352-9000
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Fax | 678-352-9700
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Provider Business Mailing Address
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Address Line | 4300 HADDONFIELD RD
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City | PENNSAUKEN
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State | NJ
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Zip | 08109-3376
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Country | US
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Telephone | 973-909-5159
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DAVID BAIADA
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Credential |
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Telephone | 856-662-4300
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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 | 060-R-1046
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License Number State | GA
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