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General NPI Number Information
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NPI Number | 1013515030
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Entity Type | Organization
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Legal Business Name | PERIMETER HOSPICE OF GEORGIA LLC
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Dates
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Enumeration Date | 10/12/2020
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Last Update Date | 03/09/2021
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Provider Practice Location Address
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Address Line | 150 STANLEY CT STE E
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-5215
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Country | US
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Telephone | 678-404-7927
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Fax | 678-828-5626
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Provider Business Mailing Address
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Address Line | 150 STANLEY CT STE E
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-5215
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL SERVICES
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Name | DONNA M DOWDELL
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Credential |
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Telephone | 334-663-3486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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