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General NPI Number Information
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NPI Number | 1619284015
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Entity Type | Organization
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Legal Business Name | AACHEN HOME CARE INC.
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Dates
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Enumeration Date | 09/07/2010
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Last Update Date | 05/06/2011
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Provider Practice Location Address
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Address Line | 3664 CLUB DR SUITE 203B
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-2961
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Country | US
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Telephone | 770-279-1658
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Fax | 770-456-5345
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Provider Business Mailing Address
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Address Line | 3664 CLUB DR SUITE 203B
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-2961
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Country | US
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Telephone | 770-279-1658
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Fax | 770-456-5345
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MISS LOIS A HARRIS
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Credential |
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Telephone | 770-279-1658
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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 | 067-R-0342
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License Number State | GA
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