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General NPI Number Information
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NPI Number | 1306919576
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Entity Type | Organization
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Legal Business Name | APREMIUM HEALTHCARE SOLUTION, LLC
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 05/03/2012
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Provider Practice Location Address
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Address Line | 1804 OVERLAKE DRIVE
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City | CONYERS
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State | GA
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Zip | 30013-2187
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Country | US
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Telephone | 678-895-2050
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Fax | 678-669-2031
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Provider Business Mailing Address
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Address Line | 1804 OVERLAKE DRIVE
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City | CONYERS
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State | GA
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Zip | 30013-2187
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Country | US
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Telephone | 678-895-2050
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Fax | 678-669-2031
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Authorized Official
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Title or Position | CFO
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Name | MS. REGINA A NELOMS
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Credential |
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Telephone | 770-789-9253
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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 | 011-R-0320
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 122-R-0004
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License Number State | GA
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