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General NPI Number Information
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NPI Number | 1679819890
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Entity Type | Organization
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Legal Business Name | GLOBAL HOME CARE, LLC
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Dates
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Enumeration Date | 12/14/2012
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Last Update Date | 06/28/2013
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Provider Practice Location Address
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Address Line | 4213 PRUITT RD
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City | WEST POINT
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State | MS
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Zip | 39773-4517
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Country | US
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Telephone | 318-331-3619
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Fax | 219-690-3343
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Provider Business Mailing Address
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Address Line | 558 CREEKSIDE DR 205
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City | LOWELL
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State | IN
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Zip | 46356-7921
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Country | US
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Telephone | 318-331-3619
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Fax | 219-690-3343
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. EDNA J COLLINS
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Credential | DIRECTOR
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Telephone | 318-331-3619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | R878106
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License Number State | MS
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