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General NPI Number Information
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NPI Number | 1013563824
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Entity Type | Organization
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Legal Business Name | ARMS OF LOVE TELE-HEALTH, LLC
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Dates
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Enumeration Date | 08/16/2019
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Last Update Date | 08/07/2020
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Provider Practice Location Address
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Address Line | 1201 W PEACHTREE ST NW STE 2311
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City | ATLANTA
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State | GA
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Zip | 30309-3449
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Country | US
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Telephone | 404-974-5435
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Fax | 404-745-0076
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Provider Business Mailing Address
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Address Line | 400 PRYOR ST SW # 50241
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City | ATLANTA
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State | GA
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Zip | 30303-3747
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Country | US
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Telephone | 404-974-5435
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | SANDRA GRESHAM
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Credential | DO
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Telephone | 404-974-5435
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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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Taxonomy #2
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 261QC0050X
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Taxonomy Name | Critical Access Hospital Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QP0904X
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Taxonomy Name | Federal Public Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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