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General NPI Number Information
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NPI Number | 1336855196
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Entity Type | Organization
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Legal Business Name | ENDLESS HOMECARE LLC
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Dates
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Enumeration Date | 01/25/2023
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 3276 BUFORD DR STE 104 NO 216
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City | BUFORD
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State | GA
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Zip | 30519-4587
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Country | US
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Telephone | 408-693-0272
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Fax | 678-730-3799
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Provider Business Mailing Address
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Address Line | 3276 BUFORD DR STE 104 NO 216
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City | BUFORD
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State | GA
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Zip | 30519-4587
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Country | US
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Telephone | 408-693-0290
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Fax | 678-730-3799
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Authorized Official
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Title or Position | DIRECTOR
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Name | KIEU V LA
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Credential |
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Telephone | 408-693-0272
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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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