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General NPI Number Information
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NPI Number | 1457063141
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Entity Type | Organization
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Legal Business Name | MEHK HOMECARE INC
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Dates
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Enumeration Date | 12/14/2022
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 269 SHANNON WAY STE A
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-3794
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Country | US
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Telephone | 770-885-9853
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Fax |
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Provider Business Mailing Address
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Address Line | 3555 BUFORD HWY NE APT 6
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City | BROOKHAVEN
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State | GA
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Zip | 30329-1210
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Country | US
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Telephone | 770-885-9853
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MD E HASAN
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Credential |
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Telephone | 770-885-9853
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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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