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General NPI Number Information
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NPI Number | 1710352026
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Entity Type | Organization
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Legal Business Name | AFFORDABLE HOME HEALTH CARE AGENCY, INC
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Dates
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Enumeration Date | 12/11/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2512 SE 109TH AVE
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City | PORTLAND
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State | OR
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Zip | 97266-1215
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Country | US
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Telephone | 503-261-7121
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Fax | 503-512-5384
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Provider Business Mailing Address
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Address Line | 2512 SE 109TH AVE
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City | PORTLAND
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State | OR
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Zip | 97266-1215
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Country | US
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Telephone | 503-261-7121
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Fax | 503-512-5384
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Authorized Official
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Title or Position | PRESIDENT
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Name | FATIMA MAGOMADOVA
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Credential |
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Telephone | 503-740-8640
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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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