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General NPI Number Information
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NPI Number | 1114657533
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Entity Type | Organization
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Legal Business Name | ABENA HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 06/17/2022
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Last Update Date | 11/29/2024
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Provider Practice Location Address
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Address Line | 4521 SADDLE BEND TRL
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City | SNELLVILLE
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State | GA
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Zip | 30039-5984
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Country | US
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Telephone | 770-597-5677
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Fax |
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Provider Business Mailing Address
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Address Line | 507 BARLOW PL
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City | GRAYSON
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State | GA
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Zip | 30017-4995
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Country | US
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Telephone | 404-725-7135
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | PAMELA STANLEY
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Credential |
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Telephone | 770-597-5677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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Taxonomy #2
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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 |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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