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General NPI Number Information
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NPI Number | 1083211833
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Entity Type | Organization
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Legal Business Name | AID HOMECARE, LLC
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Dates
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Enumeration Date | 10/05/2020
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Last Update Date | 10/05/2020
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Provider Practice Location Address
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Address Line | 217 ARROWHEAD BLVD
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City | JONESBORO
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State | GA
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Zip | 30236-1169
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Country | US
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Telephone | 404-400-2237
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Fax |
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Provider Business Mailing Address
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Address Line | 5050 UNION STREET P.O.BOX 309
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City | UNION CITY
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State | GA
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Zip | 30291
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Country | US
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Telephone | 404-400-2237
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | IVANA L JOHNSON
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Credential |
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Telephone | 404-324-1701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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