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General NPI Number Information
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NPI Number | 1275499915
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Entity Type | Organization
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Legal Business Name | UNITED SENIOR CARE CENTER LLC
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Dates
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Enumeration Date | 12/26/2025
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 6185 BUFORD HWY BLDG C2
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30071-2350
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Country | US
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Telephone | 770-314-0104
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Fax |
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Provider Business Mailing Address
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Address Line | 6088 BUFORD HWY NE
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City | ATLANTA
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State | GA
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Zip | 30340-1334
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Country | US
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Telephone | 770-314-0104
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DUANE SELLS
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Credential |
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Telephone | 770-314-0104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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