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General NPI Number Information
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NPI Number | 1376059790
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Entity Type | Organization
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Legal Business Name | GIGTU HOMECARE LLC
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Dates
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Enumeration Date | 12/21/2017
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Last Update Date | 12/21/2017
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Provider Practice Location Address
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Address Line | 1904 MONROE DR NE STE 215
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City | ATLANTA
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State | GA
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Zip | 30324-4858
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Country | US
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Telephone | 678-456-5877
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Fax | 888-225-9908
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Provider Business Mailing Address
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Address Line | 1904 MONROE DR NE STE 215
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City | ATLANTA
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State | GA
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Zip | 30324-4858
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Country | US
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Telephone | 678-456-5877
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Fax | 888-225-9908
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Authorized Official
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Title or Position | PRESIDENT
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Name | DENNIS C MURRAY
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Credential |
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Telephone | 678-480-7059
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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 | 033-R-1433
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License Number State | GA
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