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General NPI Number Information
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NPI Number | 1043960644
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Entity Type | Organization
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Legal Business Name | LYNNICA HEALTHCARE STAFFING, LLC
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Dates
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Enumeration Date | 03/25/2022
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Last Update Date | 03/25/2022
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Provider Practice Location Address
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Address Line | 1025 VETERANS MEMORIAL HWY SE
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City | MABLETON
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State | GA
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Zip | 30126-7707
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Country | US
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Telephone | 617-271-8374
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Fax |
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Provider Business Mailing Address
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Address Line | 1030 FRANKLIN CT
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City | AUSTELL
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State | GA
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Zip | 30106-3859
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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 | CEO
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Name | YEATIE COLLIER
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Credential |
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Telephone | 617-271-8374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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