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General NPI Number Information
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NPI Number | 1265924740
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Entity Type | Organization
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Legal Business Name | CARING SENIOR SERVICE OF COBB COUNTY
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Dates
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Enumeration Date | 05/31/2018
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Last Update Date | 05/31/2018
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Provider Practice Location Address
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Address Line | 1000 PARKWOOD CIR SE STE 900
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City | ATLANTA
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State | GA
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Zip | 30339-2140
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Country | US
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Telephone | 470-298-7477
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Fax | 470-625-2648
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Provider Business Mailing Address
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Address Line | 1000 PARKWOOD CIR SE STE 900
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City | ATLANTA
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State | GA
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Zip | 30339-2140
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Country | US
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Telephone | 470-298-7477
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Fax | 470-625-2648
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Authorized Official
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Title or Position | CARE MANAGER
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Name | MRS. LUVENIA M YATES
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Credential |
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Telephone | 470-298-7477
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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 | 033-R-1796
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License Number State | GA
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