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General NPI Number Information
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NPI Number | 1457802381
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Entity Type | Organization
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Legal Business Name | DEBEST QUALITY PRIVATE HOME CARE INC
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Dates
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Enumeration Date | 10/15/2016
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Last Update Date | 10/15/2016
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Provider Practice Location Address
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Address Line | 2210 NOELLE PL
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-5620
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Country | US
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Telephone | 678-793-2891
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Fax | 678-561-8003
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Provider Business Mailing Address
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Address Line | 2210 NOELLE PL
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-5620
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Country | US
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Telephone | 678-793-2891
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Fax | 678-561-8003
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. VICTOR ANYANWU
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Credential | PHD
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Telephone | 678-793-2891
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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 | 033-R-1408
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License Number State | GA
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