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General NPI Number Information
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NPI Number | 1649521022
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Entity Type | Organization
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Legal Business Name | AT HOME INFUCARE, LLC
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 57 SAULSBURY RD
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City | DOVER
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State | DE
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Zip | 19904-3479
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Country | US
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Telephone | 302-883-2059
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Fax | 302-883-3801
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Provider Business Mailing Address
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Address Line | 57 SAULSBURY RD
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City | DOVER
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State | DE
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Zip | 19904-3479
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Country | US
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Telephone | 302-883-2059
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Fax | 302-883-3801
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MR. RICHARD ASAH NKWETTA
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Credential | PMHNP-BC.
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Telephone | 302-883-2059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHAS-053
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License Number State | DE
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