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General NPI Number Information
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NPI Number | 1083314637
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Entity Type | Organization
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Legal Business Name | STRAUGHN ELITE SERVICES, INC
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Dates
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Enumeration Date | 03/03/2023
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Last Update Date | 03/03/2023
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Provider Practice Location Address
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Address Line | 3761 VILLA CT
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-1142
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Country | US
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Telephone | 347-489-4565
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Fax |
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Provider Business Mailing Address
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Address Line | 1517 MCADOO DR SW
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City | MARIETTA
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State | GA
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Zip | 30064-4824
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Country | US
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Telephone | 134-748-9456
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JONATHAN STRAUGHN
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Credential |
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Telephone | 347-489-4565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 163WP1700X
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Taxonomy Name | Perinatal Registered Nurse
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 374T00000X
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Taxonomy Name | Religious Nonmedical Nursing Personnel
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #9
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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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