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General NPI Number Information
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NPI Number | 1285426148
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Entity Type | Organization
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Legal Business Name | TRUSTED ALLY HOME CARE LLC
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 823 BROAD ST # 104
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City | AUGUSTA
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State | GA
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Zip | 30901-1214
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Country | US
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Telephone | 912-800-9168
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Fax |
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Provider Business Mailing Address
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Address Line | 5299 DTC BLVD STE 101
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-3312
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Country | US
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Telephone | 720-237-9388
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALEXANDER PAGE
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Credential |
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Telephone | 720-442-8386
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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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