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General NPI Number Information
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NPI Number | 1811709538
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Entity Type | Organization
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Legal Business Name | MNR HOME CARE SERVICES
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 2795 MAIN ST W STE 26A
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City | SNELLVILLE
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State | GA
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Zip | 30078-3075
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Country | US
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Telephone | 470-909-7318
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Fax | 770-676-7087
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Provider Business Mailing Address
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Address Line | PO BOX 390551
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City | SNELLVILLE
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State | GA
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Zip | 30039-0010
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Country | US
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Telephone | 470-909-7318
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Fax | 770-676-7087
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Authorized Official
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Title or Position | CEO
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Name | NICHOLE RICHARDSON
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Credential |
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Telephone | 678-448-2853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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