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General NPI Number Information
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NPI Number | 1760430334
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Entity Type | Organization
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Legal Business Name | GEORGETOWN HOSPITAL HOME HEALTH LLC
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 2503 HIGHMARKET ST
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City | GEORGETOWN
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State | SC
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Zip | 29440-2900
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Country | US
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Telephone | 843-546-1730
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Fax | 843-839-2367
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Provider Business Mailing Address
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Address Line | 3854 AMERICAN WAY SUITE A
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City | BATON ROUGE
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State | LA
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Zip | 70816-4013
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Country | US
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Telephone | 225-292-2031
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Fax | 225-295-9678
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHRISTOPHER GERARD
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Credential |
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Telephone | 122-529-9325
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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 | HHA-192
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License Number State | SC
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