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General NPI Number Information
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NPI Number | 1366627986
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Entity Type | Organization
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Legal Business Name | AMEDISYS GEORGIA, L.L.C.
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 201 MAPLE DR
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City | VIDALIA
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State | GA
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Zip | 30474-8906
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Country | US
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Telephone | 912-537-9004
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Fax | 912-537-8586
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Provider Business Mailing Address
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Address Line | 3854 AMERICAN WAY SUITE A
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City | BATON ROUGE
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State | LA
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Zip | 70816-4013
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Country | US
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Telephone | 225-292-2031
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Fax | 225-295-9678
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Authorized Official
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Title or Position | SVP TAX
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Name | TRAVIS MIGLICCO
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Credential |
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Telephone | 225-299-3803
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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 | 138-112
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License Number State | GA
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