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NPI 1578414488

NPI 1578414488 : MEDLINK HOMECARE : AMERICUS, GA

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General NPI Number Information
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    NPI Number           |    1578414488
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEDLINK HOMECARE 
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Dates
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    Enumeration Date     |    02/05/2026
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    Last Update Date     |    02/05/2026
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Provider Practice Location Address
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    Address Line         |    201 E LAMAR ST STE 200 
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    City                 |    AMERICUS
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    State                |    GA
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    Zip                  |    31709-3632
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    Country              |    US
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    Telephone            |    404-208-8642
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    201 E LAMAR ST STE 200 
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    City                 |    AMERICUS
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    State                |    GA
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    Zip                  |    31709-3632
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     HAFIZA  FAZAL 
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    Credential           |    
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    Telephone            |    404-208-8642
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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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Taxonomy #2
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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 |    
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