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General NPI Number Information
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NPI Number | 1720261878
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Entity Type | Organization
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Legal Business Name | ENGLEWOOD HEALTH SYSTEMS, INC.
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Dates
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Enumeration Date | 12/12/2007
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Last Update Date | 12/12/2007
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Provider Practice Location Address
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Address Line | 41 W OAKLAND AVE
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City | CAMILLA
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State | GA
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Zip | 31730-1219
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Country | US
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Telephone | 229-336-9797
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Fax | 229-436-8814
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Provider Business Mailing Address
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Address Line | 41 W OAKLAND AVE
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City | CAMILLA
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State | GA
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Zip | 31730-1219
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Country | US
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Telephone | 229-336-9797
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Fax | 229-436-8814
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Authorized Official
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Title or Position | CEO
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Name | MRS. JOYCE DIANE BARLOW
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Credential | RN
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Telephone | 229-435-2109
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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 | 101-225
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License Number State | GA
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