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General NPI Number Information
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NPI Number | 1649524190
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Entity Type | Organization
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Legal Business Name | CAREFIRST HOME HEALTH CORPORATION
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 11/06/2012
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Provider Practice Location Address
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Address Line | 5847 JAMERSON DR
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City | ATLANTA
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State | GA
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Zip | 30349-7018
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Country | US
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Telephone | 404-671-9585
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Fax | 866-583-3040
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Provider Business Mailing Address
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Address Line | 5847 JAMERSON DR
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City | ATLANTA
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State | GA
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Zip | 30349
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Country | US
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Telephone | 404-671-9585
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Fax | 866-583-3040
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LEONARD R GORDON
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Credential |
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Telephone | 404-671-9585
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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 |
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License Number State | CT
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