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General NPI Number Information
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NPI Number | 1346912235
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Entity Type | Organization
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Legal Business Name | CHRISMA HOME CARE AGENCY
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 6150 SEQUOIA LN
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-5544
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Country | US
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Telephone | 678-642-3788
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Fax | 904-800-1291
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Provider Business Mailing Address
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Address Line | 6150 SEQUOIA LN
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-5544
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Country | US
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Telephone | 678-642-3788
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Fax | 904-800-1291
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. IDELL A STRACHAN
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Credential | RN
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Telephone | 678-620-9121
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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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