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General NPI Number Information
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NPI Number | 1336194356
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Entity Type | Organization
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Legal Business Name | IN HOME HEALTH, LLC
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 4487 COLUMBIA RD STE 103
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City | MARTINEZ
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State | GA
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Zip | 30907-4255
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Country | US
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Telephone | 706-860-7374
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Fax | 706-860-9410
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Provider Business Mailing Address
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Address Line | 333 N. SUMMIT ST. ATTN: LEGAL DEPARTMENT
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City | TOLEDO
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State | OH
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Zip | 43604-2615
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Country | US
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Telephone | 419-252-5500
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Fax | 877-385-9446
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. MARTIN D ALLEN
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Credential |
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Telephone | 419-252-5734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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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 | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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