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General NPI Number Information
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NPI Number | 1487180030
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Entity Type | Organization
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Legal Business Name | OM HEALTHCARE LLC
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Dates
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Enumeration Date | 05/02/2017
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Last Update Date | 08/14/2020
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Provider Practice Location Address
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Address Line | 1101 MCMURTRIE DR NW STE D4
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City | HUNTSVILLE
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State | AL
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Zip | 35806-2470
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Country | US
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Telephone | 256-801-3600
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Fax | 256-801-3602
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Provider Business Mailing Address
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Address Line | 1101 MCMURTRIE DR NW STE D4
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City | HUNTSVILLE
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State | AL
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Zip | 35806-2470
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Country | US
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Telephone | 256-801-3600
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Fax | 256-801-3602
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Authorized Official
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Title or Position | CEO
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Name | SOURABH CHATTERJEE
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Credential |
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Telephone | 256-801-3600
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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 |
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License Number State |
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