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General NPI Number Information
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NPI Number | 1235594912
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Entity Type | Organization
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Legal Business Name | JOURNEY HOSPICE CARE OF ATLANTA LLC
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Dates
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Enumeration Date | 12/22/2015
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Last Update Date | 12/22/2015
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Provider Practice Location Address
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Address Line | 4800 ASHFORD DUNWOODY RD SUITE 150
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City | ATLANTA
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State | GA
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Zip | 30338-4897
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Country | US
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Telephone | 404-254-2454
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Fax | 404-256-2455
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Provider Business Mailing Address
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Address Line | 4800 ASHFORD DUNWOODY RD SUITE 150
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City | ATLANTA
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State | GA
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Zip | 30338-4897
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Country | US
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Telephone | 404-254-2454
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Fax | 404-256-2455
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Authorized Official
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Title or Position | CEO
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Name | RICHARD K RICE JR.
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Credential |
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Telephone | 770-608-5225
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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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