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General NPI Number Information
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NPI Number | 1114878832
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Entity Type | Organization
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Legal Business Name | TAVIAS HOME CARE
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Dates
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Enumeration Date | 02/07/2026
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Last Update Date | 02/07/2026
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Provider Practice Location Address
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Address Line | 675 MANSELL RD
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City | ROSWELL
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State | GA
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Zip | 30076-4863
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Country | US
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Telephone | 602-610-8902
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Fax | 404-738-1162
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Provider Business Mailing Address
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Address Line | 1906 TIMBER FLEET CT
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-8264
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Country | US
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Telephone | 602-610-8902
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Fax | 404-738-1162
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Authorized Official
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Title or Position | PRESIDENT
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Name | VALENCIA MITONYA COVINGTON
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Credential | RN, NP
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Telephone | 301-664-0993
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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 |
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License Number State |
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