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General NPI Number Information
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NPI Number | 1700142056
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Entity Type | Organization
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Legal Business Name | H & N IN-HOME CARE
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 2759 MT. ZION PARKWAY SUITE D
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City | JONESBORO
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State | GA
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Zip | 30236-2759
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Country | US
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Telephone | 404-451-5862
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Fax |
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Provider Business Mailing Address
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Address Line | 2759 MOUNT ZION PKWY SUITE D
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City | JONESBORO
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State | GA
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Zip | 30236-2568
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Country | US
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Telephone | 404-451-5862
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Fax |
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Authorized Official
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Title or Position | PRES/CEO
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Name | MR. EDWARD PONES
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Credential |
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Telephone | 404-451-5862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 060-R-0733
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License Number State | GA
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