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General NPI Number Information
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NPI Number | 1689742934
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Entity Type | Organization
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Legal Business Name | DEKALB MEDICAL CENTER HOME HEALTH
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Dates
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Enumeration Date | 12/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 450 N CANDLER ST
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City | DECATUR
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State | GA
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Zip | 30030-2626
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Country | US
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Telephone | 404-501-7225
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Fax | 404-501-2082
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Provider Business Mailing Address
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Address Line | 450 N CANDLER ST
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City | DECATUR
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State | GA
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Zip | 30030-2626
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Country | US
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Telephone | 404-501-7225
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Fax | 404-501-2082
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Authorized Official
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Title or Position | DIRECTOR
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Name | JOYCE OSBORNE
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Credential |
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Telephone | 404-501-7225
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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 |
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