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General NPI Number Information
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NPI Number | 1316387913
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Entity Type | Organization
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Legal Business Name | GEORGIA SENIOR SERVICES LLC
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Dates
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Enumeration Date | 06/27/2013
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 770 OLD ROSWELL PLACE, SUITE J100 - 200
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City | ROSWELL
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State | GA
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Zip | 30076
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Country | US
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Telephone | 678-352-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 770 OLD ROSWELL PLACE, SUITE J 100-200
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City | ROSWELL
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State | GA
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Zip | 30076
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Country | US
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Telephone | 678-352-3600
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MRS. LUDMILA BIBER
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Credential |
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Telephone | 678-352-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number | RB1003213
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number | RBI003213
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License Number State | GA
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