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General NPI Number Information
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NPI Number | 1700417995
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Entity Type | Organization
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Legal Business Name | T AND D HOME CARE INC.
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Dates
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Enumeration Date | 01/28/2020
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Last Update Date | 01/28/2020
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Provider Practice Location Address
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Address Line | 1679 SUMMIT PLACE WAY
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City | LOGANVILLE
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State | GA
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Zip | 30052-5362
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Country | US
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Telephone | 678-562-0022
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Fax |
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Provider Business Mailing Address
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Address Line | 1679 SUMMIT PLACE WAY
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City | LOGANVILLE
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State | GA
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Zip | 30052-5362
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Country | US
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Telephone | 678-562-0022
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DENISE BARKER
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Credential | RN
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Telephone | 678-562-0022
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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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