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General NPI Number Information
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NPI Number | 1356836035
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Entity Type | Organization
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Legal Business Name | GAD HEALTH CARE LLC
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 06/26/2018
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Provider Practice Location Address
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Address Line | 1140 GREAT OAKS DR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045
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Country | US
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Telephone | 678-900-3530
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 FOUNTAIN DR STE G
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City | SNELLVILLE
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State | GA
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Zip | 30078-2900
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Country | US
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Telephone | 678-900-3530
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. NICHOLAS GAD
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Credential |
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Telephone | 678-900-3530
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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 |
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License Number State |
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