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General NPI Number Information
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NPI Number | 1255051280
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Entity Type | Organization
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Legal Business Name | CHRISTIAN CHARACTER LLC
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Dates
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Enumeration Date | 08/30/2022
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 221 COVINGTON AVE APT 171
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City | THOMASVILLE
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State | GA
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Zip | 31792-5287
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Country | US
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Telephone | 229-421-4256
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5872
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City | THOMASVILLE
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State | GA
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Zip | 31758-5872
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ANTHONY JONES
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Credential | LPN
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Telephone | 229-421-4256
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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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