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General NPI Number Information
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NPI Number | 1417106964
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Entity Type | Organization
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Legal Business Name | DEPENDABLE HOME CARE
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 5510 COMMONS LN
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City | ALPHARETTA
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State | GA
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Zip | 30005-6775
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Country | US
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Telephone | 770-881-7101
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Fax | 770-573-7111
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Provider Business Mailing Address
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Address Line | 5510 COMMONS LN
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City | ALPHARETTA
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State | GA
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Zip | 30005-6775
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Country | US
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Telephone | 770-881-7101
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Fax | 770-573-7111
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. VAISHALI JOSHI
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Credential |
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Telephone | 770-881-7101
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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 | 060-R-0287
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License Number State | GA
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