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General NPI Number Information
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NPI Number | 1770650111
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Entity Type | Organization
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Legal Business Name | CHOICE HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3711 N DECATUR RD SUITE 107,
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City | DECATUR
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State | GA
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Zip | 30032-1000
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Country | US
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Telephone | 404-508-1214
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Fax | 404-508-8551
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Provider Business Mailing Address
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Address Line | 3711 N DECATUR RD SUITE 107,
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City | DECATUR
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State | GA
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Zip | 30032-1000
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Country | US
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Telephone | 404-508-1214
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Fax | 404-508-8551
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. MOHAMED HAJI-AHMED
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Credential |
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Telephone | 404-422-6301
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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 | 044-R-0195
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License Number State | GA
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