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General NPI Number Information
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NPI Number | 1265296529
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Entity Type | Organization
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Legal Business Name | INSPIRATION CASE MANAGEMENT AGENCY
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Dates
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Enumeration Date | 02/07/2024
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 1025 VETERANS MEMORIAL HWY SE
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City | MABLETON
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State | GA
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Zip | 30126-7707
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Country | US
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Telephone | 678-818-2116
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Fax |
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Provider Business Mailing Address
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Address Line | 1238 COTTAGE BLVD
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City | ATHENS
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State | GA
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Zip | 30605-4914
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Country | US
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Telephone | 678-818-2116
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TAMARA A MOORE
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Credential | MSW
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Telephone | 678-818-2116
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care 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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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