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General NPI Number Information
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NPI Number | 1194497768
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE KEY CARE LLC
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Dates
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Enumeration Date | 10/01/2021
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Last Update Date | 10/01/2021
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Provider Practice Location Address
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Address Line | 30 LAUREL CANYON VILLAGE CIR APT 1201
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City | CANTON
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State | GA
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Zip | 30114-4487
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Country | US
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Telephone | 404-447-6248
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5362
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City | CANTON
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State | GA
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Zip | 30114-0035
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Country | US
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Telephone | 404-447-6248
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | LATOYA LAURINO
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Credential |
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Telephone | 404-447-6248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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