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General NPI Number Information
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NPI Number | 1871143990
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Entity Type | Organization
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Legal Business Name | ADLOC HEALTH
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Dates
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Enumeration Date | 09/19/2019
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Last Update Date | 09/19/2019
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Provider Practice Location Address
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Address Line | 1525 METROPOLITAN PKWY SW
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City | ATLANTA
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State | GA
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Zip | 30310-4445
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Country | US
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Telephone | 678-224-8097
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Fax | 470-300-9226
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Provider Business Mailing Address
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Address Line | 1525 METROPOLITAN PKWY SW
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City | ATLANTA
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State | GA
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Zip | 30310-4445
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Country | US
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Telephone | 678-224-8097
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Fax | 470-300-9226
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Authorized Official
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Title or Position | OWNER/ EXECUTIVE ADMINISTRATOR
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Name | MR. EDWARD WEEKS
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Credential |
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Telephone | 678-899-0382
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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 |
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License Number State |
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