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General NPI Number Information
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NPI Number | 1073234134
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Entity Type | Organization
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Legal Business Name | LEMON JUICE HEALTHCARE SERVICES
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Dates
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Enumeration Date | 09/07/2022
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 1980 PADGETT DR
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City | AUSTELL
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State | GA
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Zip | 30106-1864
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Country | US
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Telephone | 404-542-6450
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Fax |
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Provider Business Mailing Address
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Address Line | 2817 JAMES HENRY DR
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City | DACULA
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State | GA
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Zip | 30019-7553
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Country | US
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Telephone | 404-542-6450
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Fax |
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Authorized Official
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Title or Position | CNA/MED TECH/PROXY CARE-CEOO
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Name | VONITA ISIDORE
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Credential |
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Telephone | 404-227-1257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #3
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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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