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General NPI Number Information
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NPI Number | 1689346926
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Entity Type | Organization
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Legal Business Name | LOUDEN FAIRFAX CARE LLC
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Dates
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Enumeration Date | 10/05/2021
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Last Update Date | 10/05/2021
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Provider Practice Location Address
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Address Line | 207 INSTITUTE ST
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City | STATESBORO
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State | GA
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Zip | 30458-0920
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Country | US
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Telephone | 912-741-8980
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Fax |
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Provider Business Mailing Address
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Address Line | 207 INSTITUTE ST
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City | STATESBORO
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State | GA
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Zip | 30458-0920
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Country | US
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Telephone | 912-741-8980
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | RYAN COLBY THOMAS
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Credential | REP
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Telephone | 912-741-8980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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