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General NPI Number Information
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NPI Number | 1104377423
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Entity Type | Organization
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Legal Business Name | VIET HOME CARE LLC
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Dates
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Enumeration Date | 10/21/2016
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Last Update Date | 10/21/2016
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Provider Practice Location Address
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Address Line | 6040 DAWSON BLVD STE H
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City | NORCROSS
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State | GA
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Zip | 30093-1258
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Country | US
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Telephone | 770-447-7554
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Fax |
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Provider Business Mailing Address
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Address Line | 6040 DAWSON BLVD STE H
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City | NORCROSS
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State | GA
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Zip | 30093-1258
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMIN
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Name | OANH H NGUYEN
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Credential |
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Telephone | 678-548-3403
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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 | 067-R-1400
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License Number State | GA
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