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General NPI Number Information
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NPI Number | 1700650256
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Entity Type | Organization
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Legal Business Name | B HOME CARE AL, LLC
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Dates
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Enumeration Date | 11/14/2023
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 800 RICE VALLEY RD N
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City | TUSCALOOSA
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State | AL
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Zip | 35406-1660
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Country | US
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Telephone | 615-657-7540
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Fax |
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Provider Business Mailing Address
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Address Line | 5500 MARYLAND WAY STE 320
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City | BRENTWOOD
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State | TN
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Zip | 37027-4976
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Country | US
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Telephone | 615-657-7540
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MR. JESSE DOSCHADIS
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Credential |
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Telephone | 615-657-7540
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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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