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General NPI Number Information
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NPI Number | 1043174634
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Entity Type | Organization
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Legal Business Name | ATALLAH HEALTH CARE INC
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 6792 TRIBBLE ST STE 23
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City | LITHONIA
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State | GA
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Zip | 30058-4684
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Country | US
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Telephone | 404-446-3639
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Fax |
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Provider Business Mailing Address
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Address Line | 6792 TRIBBLE ST STE 23
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City | LITHONIA
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State | GA
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Zip | 30058-4684
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Country | US
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Telephone | 404-446-3639
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. TACQUORA LASHAE MIXON
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Credential | CNA,CMA
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Telephone | 404-692-8860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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