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General NPI Number Information
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NPI Number | 1093170359
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Entity Type | Organization
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Legal Business Name | ABSOLUTE MEDICAL
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Dates
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Enumeration Date | 12/30/2015
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Last Update Date | 10/12/2016
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Provider Practice Location Address
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Address Line | 1755 THE EXCHANGE SE STE 330T
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City | ATLANTA
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State | GA
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Zip | 30339-7403
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Country | US
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Telephone | 678-402-8871
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Fax | 770-234-5118
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Provider Business Mailing Address
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Address Line | 1755 THE EXCHANGE SE STE 330T
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City | ATLANTA
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State | GA
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Zip | 30339-7403
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Country | US
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Telephone | 678-402-8871
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Fax | 770-234-5118
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Authorized Official
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Title or Position | MANAGER
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Name | SHERRA HAMMOND
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Credential |
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Telephone | 678-402-8871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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 #3
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | GA
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