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General NPI Number Information
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NPI Number | 1548703317
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Entity Type | Organization
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Legal Business Name | MERCY HOME CARE SERVICES, INC
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Dates
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Enumeration Date | 11/29/2016
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 3247 DIAMOND BLF
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City | UNION CITY
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State | GA
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Zip | 30291-6050
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Country | US
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Telephone | 404-563-6683
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Fax |
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Provider Business Mailing Address
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Address Line | 3247 DIAMOND BLF
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City | UNION CITY
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State | GA
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Zip | 30291-6050
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Country | US
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Telephone | 404-563-6683
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | REGINALD UCHEHARA
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Credential |
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Telephone | 404-563-6683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 003149067B
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 038-R-1093
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License Number State | GA
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