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General NPI Number Information
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NPI Number | 1396178711
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Entity Type | Organization
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Legal Business Name | ATLANTA AREA HOME CARE, LLC
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 8302 DUNWOODY PL SUITE 332
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City | ATLANTA
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State | GA
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Zip | 30350-3317
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Country | US
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Telephone | 770-609-6477
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Fax | 770-686-3653
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Provider Business Mailing Address
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Address Line | 8302 DUNWOODY PL SUITE 332
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City | ATLANTA
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State | GA
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Zip | 30350-3317
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Country | US
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Telephone | 770-609-6477
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Fax | 770-686-3653
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. WILLIAM SUTHERLAND
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Credential |
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Telephone | 770-609-6477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 060-R-0971
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License Number State | GA
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