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General NPI Number Information
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NPI Number | 1306386750
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Entity Type | Organization
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Legal Business Name | COMPLETE CARE SERVICES
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 1205 DAWSON RD
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City | ALBANY
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State | GA
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Zip | 31707-3851
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Country | US
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Telephone | 229-435-7764
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 DAWSON RD
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City | ALBANY
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State | GA
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Zip | 31707-3851
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Country | US
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Telephone | 229-435-7764
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/LAB DIRECTOR
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Name | ZELDA PETERS
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Credential | FNP
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Telephone | 229-894-7877
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 047-R-1538
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License Number State | GA
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