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General NPI Number Information
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NPI Number | 1255039517
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Entity Type | Organization
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Legal Business Name | EXTRAORDINAIRE CARING HANDS LLC
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Dates
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Enumeration Date | 02/16/2023
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 850 DOGWOOD RD STE B200
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-7213
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Country | US
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Telephone | 833-383-2627
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Fax | 833-390-1713
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Provider Business Mailing Address
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Address Line | 850 DOGWOOD RD STE B200
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-7213
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Country | US
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Telephone | 833-383-2627
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Fax | 833-390-1713
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Authorized Official
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Title or Position | PRESDIENT
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Name | JOYCE ATTIDORE
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Credential |
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Telephone | 833-383-2627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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