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General NPI Number Information
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NPI Number | 1346355567
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Entity Type | Organization
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Legal Business Name | ASSURED & ASSOCIATES PERSONAL CARE OF GA
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8336 OFFICE PARK DR SUITE F
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-6937
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Country | US
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Telephone | 678-391-0140
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Fax | 678-391-0970
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Provider Business Mailing Address
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Address Line | 8336 OFFICE PARK DR SUITE F
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-6937
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Country | US
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Telephone | 678-391-0140
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Fax | 678-391-0970
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. RUBY BROWN
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Credential |
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Telephone | 678-391-0140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 048-R-0019
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License Number State | GA
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