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General NPI Number Information
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NPI Number | 1275773616
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Entity Type | Organization
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Legal Business Name | S.I.P.S., INC.
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Dates
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Enumeration Date | 02/25/2009
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Last Update Date | 02/25/2009
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Provider Practice Location Address
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Address Line | 2917-B PROFESSIONAL PARKWAY SUITE B
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City | AUGUSTA
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State | GA
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Zip | 30907-3581
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Country | US
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Telephone | 706-447-3972
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Fax | 706-447-3975
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Provider Business Mailing Address
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Address Line | 4264 WATERSTON COURTYARD
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City | EVANS
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State | GA
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Zip | 30809-5036
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Country | US
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Telephone | 706-447-3972
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Fax | 706-447-3975
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Authorized Official
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Title or Position | CEO, ADMINISTRATOR
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Name | MRS. JANIE DOUGLASS HAMILTON
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Credential | RN, MSN
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Telephone | 706-447-3972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN165844
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 29393
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 121-R-0351
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | RN165844
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License Number State | GA
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