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General NPI Number Information
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NPI Number | 1871373050
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Entity Type | Organization
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Legal Business Name | MOMBA HOME CARE ALABAMA
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Dates
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Enumeration Date | 10/04/2023
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 2100 SOUTHBRIDGE PKWY UNIT 650
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City | BIRMINGHAM
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State | AL
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Zip | 35209-1317
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Country | US
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Telephone | 659-272-0084
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Fax |
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Provider Business Mailing Address
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Address Line | 999 PEACHTREE ST NE STE 1500
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City | ATLANTA
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State | GA
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Zip | 30309-4421
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Country | US
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Telephone | 404-962-1033
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF GOVERNMENT AFFAIRS
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Name | ADON SOLOMON
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Credential |
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Telephone | 404-962-1033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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