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General NPI Number Information
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NPI Number | 1154547248
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Entity Type | Organization
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Legal Business Name | UNIVERSAL HEALTHCARE SERVICES,LLC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 03/26/2008
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Provider Practice Location Address
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Address Line | 75 AYERS AVE NE
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City | MARIETTA
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State | GA
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Zip | 30060-2169
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Country | US
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Telephone | 770-552-5551
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Fax | 770-552-0875
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Provider Business Mailing Address
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Address Line | 75 AYERS AVE NE
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City | MARIETTA
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State | GA
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Zip | 30060-2169
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Country | US
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Telephone |
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Fax | 770-552-0875
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Authorized Official
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Title or Position | OWNERS
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Name | ANDREA HELEN
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Credential |
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Telephone | 770-552-5551
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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 | 033R0069
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License Number State | GA
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