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General NPI Number Information
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NPI Number | 1023478005
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Entity Type | Organization
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Legal Business Name | TRUSTED HANDS SENIOR CARE LLC
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Dates
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Enumeration Date | 03/03/2016
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Last Update Date | 10/11/2016
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Provider Practice Location Address
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Address Line | 760 OLD ROSWELL ROAD SUITE 240
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City | ROSWELL
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State | GA
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Zip | 30076-1490
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Country | US
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Telephone | 404-490-0848
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Fax | 404-907-1277
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Provider Business Mailing Address
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Address Line | 760 OLD ROSWELL ROAD SUITE 240
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City | ROSWELL
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State | GA
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Zip | 30076-1490
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Country | US
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Telephone | 404-490-0848
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Fax | 404-907-1277
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Authorized Official
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Title or Position | ADMINISTRATOR DIRECTOR
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Name | MONIQUE COLLINS
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Credential |
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Telephone | 404-490-0848
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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 | 060-R-1357
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 060-R-1357
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License Number State | GA
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