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General NPI Number Information
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NPI Number | 1073838306
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Entity Type | Organization
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Legal Business Name | A HUG AWAY II, INCORPORATED
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Dates
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Enumeration Date | 03/30/2010
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Last Update Date | 04/02/2010
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Provider Practice Location Address
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Address Line | 21219 PARK ROYALE DR
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City | KATY
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State | TX
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Zip | 77450-4123
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Country | US
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Telephone | 832-868-4009
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Fax |
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Provider Business Mailing Address
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Address Line | 956 DUNSTAN LN
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City | STONE MOUNTAIN
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State | GA
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Zip | 30083-2451
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Country | US
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Telephone | 404-228-2487
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. TRAVIS PIERCE WILLIAMS
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Credential |
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Telephone | 404-228-2487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State | GA
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Taxonomy #2
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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 | GA
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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 | RN184995
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | GA
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