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General NPI Number Information
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NPI Number | 1043409097
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Entity Type | Organization
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Legal Business Name | OZRIM, LLC
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 09/13/2012
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Provider Practice Location Address
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Address Line | 1733 MOUNT VERNON RD SUITE 110
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City | DUNWOODY
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State | GA
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Zip | 30338-4244
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Country | US
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Telephone | 770-551-9533
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Fax | 770-551-0302
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Provider Business Mailing Address
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Address Line | 1725 MOUNT VERNON RD SUITE 4
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City | DUNWOODY
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State | GA
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Zip | 30338-4240
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Country | US
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Telephone | 770-551-9533
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Fax | 770-551-0302
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LISA M. REISMAN
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Credential | RN, CPNP
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Telephone | 770-551-9533
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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-0250
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License Number State | GA
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