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General NPI Number Information
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NPI Number | 1376340919
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Entity Type | Organization
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Legal Business Name | QUALIFIED AND CERTIFIED HOMECARE
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Dates
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Enumeration Date | 03/01/2025
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Last Update Date | 03/01/2025
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Provider Practice Location Address
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Address Line | 2179 LAWRENCEVILLE HWY
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-7713
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Country | US
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Telephone | 678-530-5775
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Fax |
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Provider Business Mailing Address
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Address Line | 2179 LAWRENCEVILLE HWY
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-7713
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Country | US
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Telephone | 678-530-5775
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ROSE JONES
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Credential |
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Telephone | 678-530-5775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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