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General NPI Number Information
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NPI Number | 1245761402
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Entity Type | Organization
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Legal Business Name | EUNICON HOMECARE SERVICES
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Dates
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Enumeration Date | 03/21/2017
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Last Update Date | 03/21/2017
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Provider Practice Location Address
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Address Line | 6065 ROSWELL RD SUITE 670
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City | ATLANTA
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State | GA
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Zip | 30328-4011
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Country | US
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Telephone | 404-246-4935
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Fax | 404-748-9695
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Provider Business Mailing Address
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Address Line | 6065 ROSWELL RD SUITE 670
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City | ATLANTA
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State | GA
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Zip | 30328-4011
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Country | US
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Telephone | 404-246-4935
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Fax | 404-748-9695
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. LOUIS MAHACHI
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Credential |
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Telephone | 404-246-4935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 060-R-0109
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License Number State | GA
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