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General NPI Number Information
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NPI Number | 1063275758
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Entity Type | Organization
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Legal Business Name | GILMA COMPASSION LLC
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 725 SAN MIGUEL DR
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City | STONE MOUNTAIN
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State | GA
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Zip | 30083-3830
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Country | US
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Telephone | 404-437-0618
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Fax |
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Provider Business Mailing Address
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Address Line | 725 SAN MIGUEL DR
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City | STONE MOUNTAIN
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State | GA
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Zip | 30083-3830
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Country | US
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Telephone | 404-437-0618
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMMA ROSELYNE KONAN
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Credential | MD
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Telephone | 404-437-0618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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