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General NPI Number Information
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NPI Number | 1255754248
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Entity Type | Organization
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Legal Business Name | PEACE FOR YOU IN-HOME CARE, INC.
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Dates
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Enumeration Date | 01/27/2014
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Last Update Date | 01/27/2014
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Provider Practice Location Address
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Address Line | 1419 CHATTANOOGA AVE SUITE 4
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City | DALTON
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State | GA
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Zip | 30720-2642
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Country | US
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Telephone | 706-278-4637
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Fax | 706-529-5876
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Provider Business Mailing Address
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Address Line | 1419 CHATTANOOGA AVE SUITE 4
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City | DALTON
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State | GA
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Zip | 30720-2642
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Country | US
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Telephone | 706-278-4637
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Fax | 706-529-5876
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TONYA LAIRD
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Credential |
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Telephone | 706-278-4637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 155-R0838
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License Number State | GA
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