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General NPI Number Information
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NPI Number | 1821010679
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Entity Type | Organization
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Legal Business Name | GADSDEN HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 300 MEDICAL CENTER DR STE 102
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City | GADSDEN
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State | AL
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Zip | 35903-1139
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Country | US
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Telephone | 256-538-2273
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Fax | 256-538-9373
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Provider Business Mailing Address
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Address Line | PO BOX 51266
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City | LAFAYETTE
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State | LA
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Zip | 70505-1266
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Country | US
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Telephone | 337-233-1307
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Fax | 337-233-5764
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Authorized Official
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Title or Position | TREASURER
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Name | MR. JOSHUA L PROFFITT
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Credential |
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Telephone | 337-233-1307
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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 | 1741
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License Number State | AL
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