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General NPI Number Information
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NPI Number | 1023609468
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Entity Type | Organization
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Legal Business Name | NEW DAWN HOME CARE INC
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Dates
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Enumeration Date | 01/28/2021
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Last Update Date | 01/28/2021
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Provider Practice Location Address
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Address Line | 5378 LAWRENCEVILLE HWY NW STE A
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City | LILBURN
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State | GA
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Zip | 30047-5977
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Country | US
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Telephone | 770-696-9964
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Fax |
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Provider Business Mailing Address
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Address Line | 1527 ANDREW HILLS CT
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City | SUWANEE
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State | GA
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Zip | 30024-3668
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Country | US
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Telephone | 678-457-0346
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ADEDAYO I ODUTOLAODUSANYA
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Credential |
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Telephone | 770-696-9964
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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 |
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License Number State |
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