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General NPI Number Information
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NPI Number | 1154094944
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Entity Type | Organization
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Legal Business Name | GABBIES RESIDENTIAL CARE
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 8448 CROSSLAND LOOP STE 161
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City | MONTGOMERY
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State | AL
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Zip | 36117-0951
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Country | US
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Telephone | 334-354-1959
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Fax | 334-239-9061
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Provider Business Mailing Address
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Address Line | 9301 CONCORD PARK DR
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City | MONTGOMERY
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State | AL
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Zip | 36117-9235
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Country | US
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Telephone | 334-354-1959
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ATHENA W TATE
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Credential |
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Telephone | 334-354-1959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 364SH0200X
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Taxonomy Name | Home Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #9
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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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