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General NPI Number Information
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NPI Number | 1194428615
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Entity Type | Organization
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Legal Business Name | GREATER CHOICE CARE LLC
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Dates
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Enumeration Date | 03/23/2023
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 3380 PEACHTREE RD NE UNIT 1212
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City | ATLANTA
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State | GA
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Zip | 30326-1650
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Country | US
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Telephone | 470-573-6221
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Fax |
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Provider Business Mailing Address
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Address Line | 3380 PEACHTREE RD NE UNIT 1212
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City | ATLANTA
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State | GA
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Zip | 30326-1650
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Country | US
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Telephone | 470-573-6221
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | OSAMEDE EGBENUSI
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Credential |
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Telephone | 470-573-6221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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