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General NPI Number Information
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NPI Number | 1114532280
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Entity Type | Organization
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Legal Business Name | SABRINA HOME HEALTH CARE
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Dates
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Enumeration Date | 09/15/2020
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 6265 S GORDON RD
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City | AUSTELL
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State | GA
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Zip | 30168-5000
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Country | US
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Telephone | 678-368-5450
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 ROBERTA DR SW APT 1110
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City | MARIETTA
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State | GA
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Zip | 30008-3880
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Country | US
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Telephone | 678-368-5450
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Fax |
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Authorized Official
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Title or Position | OWNER/CNA
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Name | SABRINA FOLMAR
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Credential |
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Telephone | 678-368-5450
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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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