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General NPI Number Information
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NPI Number | 1396270666
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Entity Type | Organization
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Legal Business Name | ALL AROUND HEALTHCARE
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Dates
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Enumeration Date | 04/25/2017
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Last Update Date | 04/25/2017
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Provider Practice Location Address
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Address Line | 624 GRANDE VW
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City | STONE MOUNTAIN
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State | GA
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Zip | 30087-6060
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Country | US
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Telephone | 678-789-3167
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Fax |
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Provider Business Mailing Address
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Address Line | 634 GRANDE VIEW
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City | STONE MOUNTAIN
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State | GA
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Zip | 30087
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Country | US
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Telephone | 678-789-3167
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARCIA BETHEA
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Credential |
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Telephone | 470-336-7122
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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 | 044R1741
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License Number State | GA
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