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General NPI Number Information
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NPI Number | 1174417349
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Entity Type | Organization
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Legal Business Name | PROFICIENT IN HOME CARE SERVICES INC
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 27 W CAMPBELLTON ST STE 150
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City | FAIRBURN
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State | GA
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Zip | 30213-1357
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Country | US
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Telephone | 404-437-4445
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 PARKLAND BND
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City | FAIRBURN
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State | GA
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Zip | 30213-5419
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Country | US
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Telephone | 404-437-4445
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. DENICE PETERSON
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Credential |
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Telephone | 404-437-4445
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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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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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