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General NPI Number Information
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NPI Number | 1629867403
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Entity Type | Organization
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Legal Business Name | GNL HOME CARE
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 3421 LEXINGTON RD
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City | MONTGOMERY
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State | AL
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Zip | 36111-1329
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Country | US
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Telephone | 470-829-4037
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Fax |
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Provider Business Mailing Address
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Address Line | 1710 NORMAN BRIDGE RD
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City | MONTGOMERY
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State | AL
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Zip | 36104-5631
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Country | US
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Telephone | 470-829-4037
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Fax | 470-829-4037
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | STEPHANIE L GRESHAM
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Credential |
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Telephone | 334-840-9632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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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 | 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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