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General NPI Number Information
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NPI Number | 1114127883
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Entity Type | Organization
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Legal Business Name | STAY WELL CARE SOLUTIONS, INC.
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 07/20/2007
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Provider Practice Location Address
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Address Line | 22 EXECUTIVE PARK DRIVE NE
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City | ATLANTA
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State | GA
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Zip | 30329-2206
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Country | US
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Telephone | 404-551-2363
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Fax |
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Provider Business Mailing Address
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Address Line | 22 EXECUTIVE PARK DR NE SUITE 2250
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City | ATLANTA
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State | GA
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Zip | 30329-2206
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | YANINA KUZNETSOV
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Credential |
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Telephone | 201-889-4327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State | GA
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