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General NPI Number Information
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NPI Number | 1245108919
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Entity Type | Organization
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Legal Business Name | KMA CARE SERVICES LLC
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Dates
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Enumeration Date | 10/24/2025
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Last Update Date | 10/25/2025
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Provider Practice Location Address
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Address Line | 2201 HUNTER RIDGE LN
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-3736
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Country | US
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Telephone | 678-200-0920
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Fax |
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Provider Business Mailing Address
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Address Line | 1921 FERENTZ TRCE
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City | NORCROSS
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State | GA
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Zip | 30071-3676
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Country | US
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Telephone | 678-200-0920
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MAH SANOGO
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Credential |
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Telephone | 678-200-0920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #8
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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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