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General NPI Number Information
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NPI Number | 1255605408
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Entity Type | Organization
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Legal Business Name | FOCUS ON FAMILY
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Dates
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Enumeration Date | 03/06/2012
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 3200 BENJAMIN E MAYS DR SW
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City | ATLANTA
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State | GA
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Zip | 30311-2236
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Country | US
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Telephone | 678-851-7278
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 92098
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City | ATLANTA
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State | GA
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Zip | 30314-0098
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Country | US
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Telephone | 678-851-7278
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. WANDA CATHERINE HAWKINS
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Credential | RN
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Telephone | 678-851-7278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State | GA
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Taxonomy #4
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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 | GA
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Taxonomy #5
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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 | GA
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