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General NPI Number Information
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NPI Number | 1184533291
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Entity Type | Organization
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Legal Business Name | REV HEALTHCARE SERVICES INC
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 1755 N BROWN RD # 221
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-8198
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Country | US
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Telephone | 470-589-9191
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Fax |
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Provider Business Mailing Address
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Address Line | 5693 ADDISON WOODS PL
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City | SUGAR HILL
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State | GA
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Zip | 30518-6174
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Country | US
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Telephone | 470-589-9191
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Fax |
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Authorized Official
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Title or Position | MD
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Name | EBI ZUOFA
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Credential |
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Telephone | 470-589-9191
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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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