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General NPI Number Information
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NPI Number | 1346445707
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Entity Type | Organization
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Legal Business Name | LLC FAITH CARING HOME HEALTH SERVICES
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Dates
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Enumeration Date | 06/17/2007
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 3617 RIDGE BROOK TRL
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City | DULUTH
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State | GA
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Zip | 30096-6895
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Country | US
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Telephone | 678-768-4797
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Fax |
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Provider Business Mailing Address
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Address Line | 3617 RIDGE BROOK TRL
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City | DULUTH
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State | GA
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Zip | 30096-6895
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Country | US
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Telephone | 678-768-4797
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR, CHIEF OPERATOR
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Name | RENEE MARIE DOUYON
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Credential |
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Telephone | 678-768-4797
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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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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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