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General NPI Number Information
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NPI Number | 1740899368
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Entity Type | Organization
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Legal Business Name | REFLECTIONS PRIVATE HOME CARE CORP
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Dates
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Enumeration Date | 07/29/2020
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 234 RACETRACK RD
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City | MCDONOUGH
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State | GA
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Zip | 30252-6833
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Country | US
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Telephone | 678-884-5061
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Fax | 678-884-5041
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Provider Business Mailing Address
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Address Line | 234 RACETRACK RD
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City | MCDONOUGH
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State | GA
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Zip | 30252-6833
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Country | US
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Telephone | 678-884-5061
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Fax | 678-884-5041
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | D'JUAN WILLIAMS
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Credential |
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Telephone | 678-884-5061
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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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