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General NPI Number Information
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NPI Number | 1174408660
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Entity Type | Organization
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Legal Business Name | GENERATION 3G LLC
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 1201 W PEACHTREE ST NW STE 2625
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City | ATLANTA
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State | GA
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Zip | 30309-3499
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Country | US
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Telephone | 770-742-8650
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 W PEACHTREE ST NW STE 2625
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City | ATLANTA
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State | GA
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Zip | 30309-3499
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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 | OWNER
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Name | TIFFANY NICHOLE NELSON
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Credential |
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Telephone | 404-918-8416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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