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General NPI Number Information
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NPI Number | 1568165967
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Entity Type | Organization
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Legal Business Name | EASY TOUCH PERSONAL HOME CARE LLC
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Dates
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Enumeration Date | 03/24/2023
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 4284 HIGHWAY 5
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-3534
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Country | US
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Telephone | 770-575-0408
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Fax | 678-402-6975
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Provider Business Mailing Address
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Address Line | 4284 HIGHWAY 5
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-3534
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Country | US
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Telephone | 770-575-0408
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Fax | 678-402-6975
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Authorized Official
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Title or Position | OWNER
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Name | OMOWUMI MARY UBEKU
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Credential | RN
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Telephone | 770-256-3578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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