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General NPI Number Information
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NPI Number | 1336811504
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Entity Type | Organization
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Legal Business Name | GEORGIA-LINA HOME CARE
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Dates
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Enumeration Date | 10/05/2021
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 120 FLOYD AVE
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City | NORTH AUGUSTA
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State | SC
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Zip | 29841-4276
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Country | US
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Telephone | 803-426-8071
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Fax | 803-426-8144
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Provider Business Mailing Address
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Address Line | 120 FLOYD AVE
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City | NORTH AUGUSTA
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State | SC
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Zip | 29841-4276
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Country | US
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Telephone | 803-426-8071
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Fax | 803-426-8144
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Authorized Official
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Title or Position | OWNER
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Name | MARTRINO DENISE GODLEY
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Credential | RN
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Telephone | 706-373-4454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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