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General NPI Number Information
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NPI Number | 1063534725
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Entity Type | Organization
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Legal Business Name | MCPHERSON TRAINING & DEVELOPMENT SERVICES, LLC
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1220 HERITAGE LAKES DR SW
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City | MABLETON
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State | GA
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Zip | 30126-1248
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Country | US
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Telephone | 678-945-6855
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Fax | 678-945-6856
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Provider Business Mailing Address
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Address Line | 1220 HERITAGE LAKES DR SW
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City | MABLETON
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State | GA
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Zip | 30126-1248
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Country | US
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Telephone | 678-945-6855
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Fax | 678-945-6856
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. KIM MCPHERSON GREENE
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Credential | RN, ED.D.
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Telephone | 678-945-6855
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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 | 033-R-0111
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License Number State | GA
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