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General NPI Number Information
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NPI Number | 1336723105
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Entity Type | Organization
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Legal Business Name | MERIT HOSPICE OF ATLANTA LLC
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Dates
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Enumeration Date | 05/07/2021
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Last Update Date | 05/07/2021
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Provider Practice Location Address
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Address Line | 300 W I PKWY # 208A
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City | DALLAS
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State | GA
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Zip | 30132-5079
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Country | US
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Telephone | 770-843-4376
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Fax | 770-216-1740
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Provider Business Mailing Address
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Address Line | 300 W I PKWY # 208A
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City | DALLAS
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State | GA
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Zip | 30132-5079
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Country | US
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Telephone | 770-843-4376
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | STANLEY NJOKU
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Credential | REGISTERED NURSE
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Telephone | 770-843-4376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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