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General NPI Number Information
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NPI Number | 1417740499
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Entity Type | Organization
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Legal Business Name | GHANUBA CARE
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 2080 W RIDGE RD STE 2
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City | ROCHESTER
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State | NY
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Zip | 14626-2725
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Country | US
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Telephone | 585-837-2137
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Fax | 585-837-2139
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Provider Business Mailing Address
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Address Line | 2080 W RIDGE RD STE 2
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City | ROCHESTER
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State | NY
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Zip | 14626-2725
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Country | US
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Telephone | 585-837-2137
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Fax | 585-837-2139
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Authorized Official
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Title or Position | OWNER
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Name | KINGSLEY BARNIE
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Credential | RN
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Telephone | 404-454-4631
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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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