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General NPI Number Information
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NPI Number | 1346129723
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Entity Type | Organization
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Legal Business Name | AZALEA HOME CARE, INC
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 3545 CRUSE RD STE 309F
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-3162
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Country | US
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Telephone | 770-491-7122
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Fax | 404-601-9233
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Provider Business Mailing Address
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Address Line | 3545 CRUSE RD STE 309F
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-3162
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Country | US
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Telephone | 770-491-7122
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Fax | 404-601-9233
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MR. ANISH PATEL
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Credential |
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Telephone | 770-846-8496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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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 | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number |
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License Number State |
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