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General NPI Number Information
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NPI Number | 1922299817
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Entity Type | Organization
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Legal Business Name | APPALACHIAN HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 10/30/2009
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Provider Practice Location Address
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Address Line | 1658 GOWDER DR
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City | BLAIRSVILLE
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State | GA
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Zip | 30512-2969
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Country | US
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Telephone | 706-745-5101
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Fax | 706-745-5139
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Provider Business Mailing Address
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Address Line | 129 GOWDER DR
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City | BLAIRSVILLE
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State | GA
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Zip | 30512-2969
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Country | US
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Telephone | 706-745-5101
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Fax | 706-745-5139
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Authorized Official
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Title or Position | MANAGER OF OPERATIONS
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Name | MRS. BECKY GOOCH
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Credential |
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Telephone | 706-745-5101
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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 | 144132
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License Number State | GA
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