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NPI 1427560598

NPI 1427560598 : FOCUS HEALTHCARE SERVICES, INC : KATHLEEN, GA

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General NPI Number Information
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    NPI Number           |    1427560598
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    Entity Type          |    Organization 
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    Legal Business Name  |    FOCUS HEALTHCARE SERVICES, INC 
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Dates
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    Enumeration Date     |    10/30/2017
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    Last Update Date     |    10/30/2017
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Provider Practice Location Address
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    Address Line         |    1009 THISTLEWOOD DR 
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    City                 |    KATHLEEN
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    State                |    GA
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    Zip                  |    31047-2869
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    Country              |    US
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    Telephone            |    678-525-3891
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1009 THISTLEWOOD DR 
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    City                 |    KATHLEEN
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    State                |    GA
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    Zip                  |    31047-2869
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    Country              |    US
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    Telephone            |    678-525-3891
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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. DOLAPO OLU LATINWO 
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    Credential           |    ENGINEER
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    Telephone            |    678-471-7951
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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       |    076-R-1883
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    License Number State |    GA
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