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General NPI Number Information
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NPI Number | 1316468382
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Entity Type | Organization
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Legal Business Name | ALL ABOUT TENDER CARE SNELLVILLE LLC
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Dates
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Enumeration Date | 06/29/2017
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Last Update Date | 06/29/2017
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Provider Practice Location Address
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Address Line | 3922 CENTERVILLE HWY # 124
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City | SNELLVILLE
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State | GA
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Zip | 30039-6414
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Country | US
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Telephone | 770-982-5482
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1726
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City | TUCKER
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State | GA
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Zip | 30085-1726
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANGELA JACOBS
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Credential |
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Telephone | 770-982-5482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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