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General NPI Number Information
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NPI Number | 1114881943
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Entity Type | Organization
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Legal Business Name | ESPRESSO CULTURE
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 2686 SILVER QUEEN RD
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City | ELLENWOOD
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State | GA
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Zip | 30294-3974
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Country | US
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Telephone | 678-737-8865
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Fax | 229-280-5082
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Provider Business Mailing Address
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Address Line | 909 EAGLES LANDING PKWY STE 440
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-6398
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Country | US
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Telephone | 678-737-8865
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Fax | 229-280-5082
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Authorized Official
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Title or Position | MANAGER/CEO
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Name | ELBERLENE LATOYA RIVERS
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Credential | MA, DO
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Telephone | 678-737-8865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 251B00000X
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Taxonomy Name | Case Management 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 | 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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Taxonomy #4
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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 #5
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #6
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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 #7
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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