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General NPI Number Information
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NPI Number | 1487355806
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Entity Type | Organization
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Legal Business Name | DAISY'S LOVE HOMECARE SERVICES, LLC
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Dates
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Enumeration Date | 03/13/2023
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 533 CAMANO WAY
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City | MCDONOUGH
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State | GA
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Zip | 30253-8377
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Country | US
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Telephone | 888-304-0330
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Fax | 470-488-0026
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Provider Business Mailing Address
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Address Line | 533 CAMANO WAY
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City | MCDONOUGH
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State | GA
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Zip | 30253-8377
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Country | US
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Telephone | 888-304-0330
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Fax | 470-488-0026
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Authorized Official
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Title or Position | ADMINISTATOR
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Name | KIMBERLY THOMPSON
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Credential |
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Telephone | 888-304-0330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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