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General NPI Number Information
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NPI Number | 1255535621
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Entity Type | Organization
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Legal Business Name | FOLDEL HEALTHCARE SERVICES, LLC
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 10/19/2011
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Provider Practice Location Address
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Address Line | 2137 BRITT DR SUITE A
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City | SNELLVILLE
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State | GA
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Zip | 30078-3088
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Country | US
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Telephone | 678-254-0946
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Fax | 678-528-9609
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Provider Business Mailing Address
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Address Line | 438 GRAYSON PKWY PO BOX 85
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City | GRAYSON
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State | GA
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Zip | 30017-1219
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Country | US
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Telephone | 678-254-0946
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Fax | 678-528-9609
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Authorized Official
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Title or Position | NURSING DIRECTOR
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Name | MRS. JOKOSOLA ADEDOKUN
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Credential | RN
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Telephone | 678-254-0946
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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 | 067-R-0313
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License Number State | GA
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