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General NPI Number Information
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NPI Number | 1609172824
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Entity Type | Organization
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Legal Business Name | AT HOME CARE
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Dates
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Enumeration Date | 02/04/2011
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Last Update Date | 02/04/2011
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Provider Practice Location Address
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Address Line | 303 OHARA DR
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City | OXFORD
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State | MS
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Zip | 38655-6192
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Country | US
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Telephone | 662-236-0071
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 492
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City | OXFORD
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State | MS
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Zip | 38655-0492
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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 | OWNER
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Name | CHRISTINA HANKS
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Credential |
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Telephone | 662-236-0071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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