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General NPI Number Information
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NPI Number | 1043567217
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Entity Type | Organization
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Legal Business Name | NEW HOPE ADULT DAY CARE, L.L.C.
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 3840 PEACHTREE INDUSTRIAL BLVD SUITE 120
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City | DULUTH
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State | GA
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Zip | 30096-5031
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Country | US
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Telephone | 770-670-6558
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Fax |
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Provider Business Mailing Address
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Address Line | 6341 HIGHWAY 42 SUITE 7
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City | REX
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State | GA
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Zip | 30273-1653
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. TERRIE BELL-ELLISON
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Credential |
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Telephone | 404-207-3156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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