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General NPI Number Information
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NPI Number | 1649652918
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Entity Type | Organization
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Legal Business Name | ONECARE HEALTH SERVICES
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Dates
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Enumeration Date | 06/23/2015
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Last Update Date | 06/23/2015
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Provider Practice Location Address
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Address Line | 2296 HENDERSON MILL RD NE STE 111
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City | ATLANTA
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State | GA
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Zip | 30345-2739
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Country | US
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Telephone | 404-464-8124
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Fax | 404-883-3930
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Provider Business Mailing Address
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Address Line | 2296 HENDERSON MILL RD NE STE 111
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City | ATLANTA
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State | GA
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Zip | 30345-2739
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Country | US
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Telephone | 404-464-8124
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Fax | 404-883-3930
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | MR. OSMAN G DIRIE
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Credential |
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Telephone | 770-330-3716
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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 | 044-R-1166
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License Number State | GA
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