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General NPI Number Information
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NPI Number | 1487704342
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Entity Type | Organization
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Legal Business Name | FOREMOST HOME CARE
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 3114 AUGUSTA TECH DR STE 10
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City | AUGUSTA
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State | GA
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Zip | 30906-3300
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Country | US
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Telephone | 706-339-6360
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Fax | 706-793-3370
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Provider Business Mailing Address
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Address Line | 3114 AUGUSTA TECH DR STE 10
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City | AUGUSTA
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State | GA
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Zip | 30906-3300
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Country | US
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Telephone | 706-339-6360
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Fax | 706-793-3370
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. PAMELA LAVERNE SHUBERT
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Credential |
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Telephone | 706-339-6360
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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 | 121-R-0034
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License Number State | GA
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