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General NPI Number Information
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NPI Number | 1710791207
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Entity Type | Organization
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Legal Business Name | EQUITABLE HOME CARE SOLUTIONS LLC - AL
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 4252 CARMICHAEL RD STE 218
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City | MONTGOMERY
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State | AL
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Zip | 36106-2804
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Country | US
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Telephone | 706-604-5635
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Fax |
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Provider Business Mailing Address
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Address Line | 260 LEGENDS TRCE
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City | MCDONOUGH
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State | GA
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Zip | 30253-8817
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Country | US
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Telephone | 706-604-5635
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | MIRIAM TALES
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Credential |
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Telephone | 706-604-5635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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