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General NPI Number Information
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NPI Number | 1366149155
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Entity Type | Organization
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Legal Business Name | A DAUGHTERS LOVE PRIVATE HOME CARE LLC
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 4555 FLAT SHOALS PKWY STE 106
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City | DECATUR
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State | GA
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Zip | 30034-5040
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Country | US
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Telephone | 404-370-2808
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Fax |
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Provider Business Mailing Address
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Address Line | 4017 SUE LN
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City | DECATUR
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State | GA
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Zip | 30035-1076
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Country | US
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Telephone | 404-643-6444
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. TIFFANY M. DERAMUS
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Credential | MPA
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Telephone | 404-643-6444
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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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