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General NPI Number Information
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NPI Number | 1487191722
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Entity Type | Organization
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Legal Business Name | HOME CARE OF ATLANTA LLC
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Dates
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Enumeration Date | 01/25/2017
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Last Update Date | 01/25/2017
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Provider Practice Location Address
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Address Line | 6025 PROFESSIONAL PKWY SUITE 300B
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-5609
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Country | US
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Telephone | 678-315-1531
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Fax |
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Provider Business Mailing Address
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Address Line | 2829 PEBBLE HILL POINTE
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City | DULUTH
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State | GA
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Zip | 30097-4382
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Country | US
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Telephone | 678-315-1531
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JIGAR PATEL
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Credential |
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Telephone | 678-315-1531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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