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General NPI Number Information
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NPI Number | 1336636174
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Entity Type | Organization
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Legal Business Name | ONE GROUP LLC
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Dates
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Enumeration Date | 04/17/2018
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Last Update Date | 04/17/2018
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Provider Practice Location Address
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Address Line | 3150 HOWELL MILL ROAD
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City | ATLANTA
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State | GA
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Zip | 30327
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Country | US
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Telephone | 404-351-8410
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Fax |
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Provider Business Mailing Address
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Address Line | 3150 HOWELL MILL ROAD NW
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City | ATLANTA
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State | GA
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Zip | 30327-2108
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Country | US
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Telephone | 404-751-2278
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Fax | 404-751-2275
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Authorized Official
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Title or Position | CFO
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Name | NEELAM RAHATEKAR
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Credential |
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Telephone | 404-351-8410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 060R1122
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License Number State | GA
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