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General NPI Number Information
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NPI Number | 1295545473
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Entity Type | Organization
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Legal Business Name | IMPLIED HUMAN DYNAMICS PERSONAL CARE HOME
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 2100 SOUTHBRIDGE PKWY
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City | BIRMINGHAM
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State | AL
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Zip | 35209-1317
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Country | US
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Telephone | 201-361-1431
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Fax | 201-482-2893
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Provider Business Mailing Address
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Address Line | 3296 HIGHPOINT CT
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City | SNELLVILLE
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State | GA
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Zip | 30078-7401
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Country | US
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Telephone | 201-361-1431
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Fax | 201-482-2893
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Authorized Official
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Title or Position | DIRECTOR
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Name | SHARON PEART
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Credential |
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Telephone | 201-361-1431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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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 | 2278H0200X
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Taxonomy Name | Home Health Certified Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2279H0200X
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Taxonomy Name | Home Health Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 364SH0200X
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Taxonomy Name | Home Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #6
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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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