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General NPI Number Information
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NPI Number | 1316134307
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Entity Type | Organization
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Legal Business Name | SHARE CARE SERVICES
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 46 PROFESSIONAL DR
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City | BRUNSWICK
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State | GA
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Zip | 31520-3774
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Country | US
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Telephone | 912-265-3033
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Fax | 912-265-8222
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Provider Business Mailing Address
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Address Line | 46 PROFESSIONAL DR
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City | BRUNSWICK
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State | GA
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Zip | 31520-3774
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Country | US
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Telephone | 912-265-3033
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Fax | 912-265-8222
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SHARRON OLSON
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Credential | R.N.
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Telephone | 912-265-3033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 063-R-002
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 063-R0002
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 063-R-0002
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License Number State | GA
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