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General NPI Number Information
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NPI Number | 1316499254
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Entity Type | Organization
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Legal Business Name | ANCHORED AT HOME, LLC
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 3025 HIGHWAY 154 UNIT B
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City | NEWNAN
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State | GA
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Zip | 30265-6121
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Country | US
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Telephone | 470-241-6064
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Fax | 678-298-9592
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Provider Business Mailing Address
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Address Line | 3025 HIGHWAY 154 UNIT B
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City | NEWNAN
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State | GA
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Zip | 30265-6121
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Country | US
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Telephone | 470-241-6064
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CAROL WRIGHT HOVEY
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Credential | MED, CSCM
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Telephone | 470-241-6064
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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 | 038-R-1683
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License Number State | GA
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