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General NPI Number Information
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NPI Number | 1043576812
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Entity Type | Organization
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Legal Business Name | CALL TO ARM
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Dates
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Enumeration Date | 04/06/2012
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 4066 CHRISTACY WAY
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City | MARIETTA
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State | GA
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Zip | 30066-2786
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Country | US
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Telephone | 770-316-8321
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Fax | 770-485-8334
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Provider Business Mailing Address
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Address Line | 4066 CHRISTACY WAY
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City | MARIETTA
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State | GA
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Zip | 30066-2786
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Country | US
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Telephone | 770-316-8321
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Fax | 770-485-8334
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Authorized Official
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Title or Position | OWNER/DIRECTOR OF NURSING
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Name | MS. ANDREA JOAN ROMINE
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Credential | RN, BSN, CCM
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Telephone | 770-316-8321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 033R0646
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License Number State | GA
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