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General NPI Number Information
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NPI Number | 1487898672
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Entity Type | Organization
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Legal Business Name | ROSE'S PRIVATE NURSING CARE LLC
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Dates
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Enumeration Date | 05/01/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 120 GREEN SPRINGS AVE SW
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City | BIRMINGHAM
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State | AL
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Zip | 35211-3914
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Country | US
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Telephone | 205-836-8588
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Fax | 205-321-1239
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Provider Business Mailing Address
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Address Line | 120 GREENSPRING AVENUE S.W.
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City | BIRMINGHAM
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State | AL
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Zip | 35211
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Country | US
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Telephone | 205-836-8588
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Fax | 205-321-1239
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ROSE M RUTLEDGE
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Credential | NURSE
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Telephone | 205-836-8588
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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 | AL
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