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General NPI Number Information
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NPI Number | 1205595642
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Entity Type | Organization
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Legal Business Name | CIRCLE OF GREATNESS HOME CARE LLC
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Dates
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Enumeration Date | 12/13/2021
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Last Update Date | 06/06/2022
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Provider Practice Location Address
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Address Line | 3372 PEACHTREE RD NE # 115
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City | ATLANTA
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State | GA
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Zip | 30326-1881
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Country | US
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Telephone | 864-907-4525
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9042
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City | GREENVILLE
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State | SC
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Zip | 29604-9042
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Country | US
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Telephone | 470-957-6199
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NIKKI WHARTON
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Credential | RN
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Telephone | 864-907-4525
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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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