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General NPI Number Information
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NPI Number | 1083987234
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Entity Type | Organization
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Legal Business Name | NAJA PERSONAL CARE, INC.
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Dates
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Enumeration Date | 02/20/2012
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Last Update Date | 02/20/2012
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Provider Practice Location Address
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Address Line | 935 DONINGTON CIR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-3581
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Country | US
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Telephone | 678-442-9160
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Fax |
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Provider Business Mailing Address
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Address Line | 935 DONINGTON CIR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-3581
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Country | US
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Telephone | 678-442-9160
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALTHEA A NELSON
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Credential |
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Telephone | 678-951-5632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number | 067-01-482-1
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | 067-01-482-1
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License Number State | GA
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