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General NPI Number Information
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NPI Number | 1407168131
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Entity Type | Organization
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Legal Business Name | ALL CARE HOME HEALTH EQUIPMENT, LLC
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Dates
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Enumeration Date | 07/10/2010
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Last Update Date | 07/10/2010
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Provider Practice Location Address
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Address Line | 1000 COOPER CIRCLE SUITE 201
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City | FAYETTEVILLE
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State | GA
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Zip | 30215
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Country | US
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Telephone | 770-842-0679
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Fax |
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Provider Business Mailing Address
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Address Line | 240 SADDLE RIDGE WAY
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City | FAYETTEVILLE
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State | GA
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Zip | 30215-8145
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Country | US
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Telephone | 770-842-0679
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PATRICK CLAY GILLEY
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Credential |
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Telephone | 770-842-0679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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