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General NPI Number Information
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NPI Number | 1093460404
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Entity Type | Organization
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Legal Business Name | EXCLUSIVE IN HOME CARE
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Dates
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Enumeration Date | 02/14/2022
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 235 PLANTATION GLEN CT
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City | ALPHARETTA
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State | GA
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Zip | 30022-4957
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Country | US
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Telephone | 770-343-8189
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Fax |
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Provider Business Mailing Address
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Address Line | 235 PLANTATION GLEN CT
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City | ALPHARETTA
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State | GA
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Zip | 30022-4957
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Country | US
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Telephone | 404-484-8224
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FRANCA OGBEMUDIA
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Credential |
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Telephone | 404-484-8224
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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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