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General NPI Number Information
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NPI Number | 1235090929
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Entity Type | Organization
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Legal Business Name | NORTH GEORGIA HOSPICE AND PALLIATIVE CARE
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Dates
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Enumeration Date | 11/21/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 139 PROMINENCE CT STE 150
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City | DAWSONVILLE
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State | GA
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Zip | 30534-8940
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Country | US
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Telephone | 678-316-0288
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Fax | 770-676-7087
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Provider Business Mailing Address
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Address Line | 139 PROMINENCE CT STE 150
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City | DAWSONVILLE
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State | GA
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Zip | 30534-8940
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Country | US
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Telephone | 678-316-0288
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Fax | 770-676-7087
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | NICHOLE RICHARDSON
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Credential |
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Telephone | 470-909-7318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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