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General NPI Number Information
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NPI Number | 1093655599
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Entity Type | Organization
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Legal Business Name | SHARISMA YAA FAHIE LLC
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 675 MANSELL RD STE 115
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City | ROSWELL
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State | GA
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Zip | 30076-4877
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Country | US
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Telephone | 866-977-7667
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Fax |
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Provider Business Mailing Address
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Address Line | 2364 LAURELFIELD DR
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City | GRAYSON
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State | GA
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Zip | 30017-2864
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Country | US
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Telephone | 866-977-7667
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO/ MANAGER
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Name | SHARISMA FAHIE
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Credential |
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Telephone | 470-640-4527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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