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General NPI Number Information
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NPI Number | 1336940071
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Entity Type | Organization
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Legal Business Name | CAREBRIDGE COMPANIONSHIP LLC
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 4060 ALBA CT
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City | CUMMING
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State | GA
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Zip | 30028-4239
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Country | US
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Telephone | 470-638-8110
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Fax |
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Provider Business Mailing Address
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Address Line | 4060 ALBA CT
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City | CUMMING
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State | GA
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Zip | 30028-4239
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Country | US
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Telephone | 470-638-8110
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | UJUNWA PRINCESS UDEANI
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Credential | UJUNWA UDEANI
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Telephone | 470-638-8110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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