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General NPI Number Information
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NPI Number | 1356874457
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Entity Type | Organization
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Legal Business Name | A NATURAL PASSION FOR CARING
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Dates
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Enumeration Date | 04/05/2017
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Last Update Date | 04/05/2017
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Provider Practice Location Address
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Address Line | 1419 DULWICH CT
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-7536
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Country | US
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Telephone | 404-997-0340
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Fax |
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Provider Business Mailing Address
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Address Line | 1419 DULWICH CT
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-7536
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Country | US
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Telephone | 770-676-7152
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Fax | 770-249-3932
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Authorized Official
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Title or Position | OWNER/ADMIN
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Name | MS. MISTY JORDAN
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Credential |
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Telephone | 470-429-8808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 067-01-498-9
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License Number State | GA
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