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General NPI Number Information
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NPI Number | 1447282066
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Entity Type | Organization
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Legal Business Name | TALLAPOOSA HOME CARE CO
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 02/11/2021
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Provider Practice Location Address
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Address Line | 1031 CAMBRIDGE SQ STE A
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City | ALPHARETTA
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State | GA
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Zip | 30009-1869
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Country | US
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Telephone | 770-574-9126
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Fax | 888-501-6340
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Provider Business Mailing Address
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Address Line | 1031 CAMBRIDGE SQ STE A
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City | ALPHARETTA
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State | GA
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Zip | 30009-1869
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Country | US
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Telephone | 770-574-9126
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Fax | 888-501-6340
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Authorized Official
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Title or Position | OWNER/C.O.O
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Name | MR. JAMES ANTHONY SMITH
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Credential | C.O., L.O.
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Telephone | 404-538-5921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #2
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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 | GA
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