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General NPI Number Information
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NPI Number | 1073591376
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Entity Type | Organization
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Legal Business Name | WELLSTAR HOME HEALTH, LLC
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 08/06/2023
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Provider Practice Location Address
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Address Line | 1800 PARKWAY PL SE STE 720
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City | MARIETTA
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State | GA
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Zip | 30067-8295
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Country | US
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Telephone | 470-267-4900
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Fax | 770-792-1650
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Provider Business Mailing Address
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Address Line | 1800 PARKWAY PL SE STE 720
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City | MARIETTA
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State | GA
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Zip | 30067-8295
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Country | US
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Telephone | 470-267-4900
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Fax | 770-792-1650
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Authorized Official
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Title or Position | EXECUTIVE VP & CFO
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Name | ANTHONY J BUDZINSKI
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Credential |
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Telephone | 770-792-7600
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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 | 003-141
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License Number State | GA
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