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General NPI Number Information
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NPI Number | 1750558052
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Entity Type | Organization
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Legal Business Name | TOWERS PERSONAL HOME CARE
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 2772 NEWTONS CREST CIR
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City | SNELLVILLE
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State | GA
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Zip | 30078-6929
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Country | US
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Telephone | 678-349-8191
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Fax |
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Provider Business Mailing Address
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Address Line | 2772 NEWTONS CREST CIR
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City | SNELLVILLE
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State | GA
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Zip | 30078-6929
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Country | US
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Telephone | 678-349-8191
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. BADEJOKO O ABEJIDE
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Credential | RN
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Telephone | 817-323-8375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 061013111
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License Number State | GA
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