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General NPI Number Information
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NPI Number | 1255628913
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Entity Type | Organization
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Legal Business Name | A GEM OF COMFORT
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Dates
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Enumeration Date | 07/01/2011
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Last Update Date | 04/17/2014
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Provider Practice Location Address
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Address Line | 2073 FREEPORT RD NW
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City | DALTON
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State | GA
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Zip | 30720-6958
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Country | US
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Telephone | 706-281-2123
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Fax |
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Provider Business Mailing Address
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Address Line | 2073 FREEPORT RD
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City | DALTON
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State | GA
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Zip | 30721-9016
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Country | US
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Telephone | 706-281-2123
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER/ADMINISTRATOR
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Name | MS. KATHERINE C LUMPIN
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Credential | CERITIFIED NURSE
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Telephone | 706-281-2123
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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 | 0000041282
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License Number State | GA
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