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General NPI Number Information
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NPI Number | 1396338778
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Entity Type | Organization
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Legal Business Name | LIFECARE PARTNERS, INC.
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Dates
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Enumeration Date | 02/16/2021
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 3430 DULUTH PARK LN
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City | DULUTH
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State | GA
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Zip | 30096-3257
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Country | US
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Telephone | 770-800-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 3430 DULUTH PARK LN
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City | DULUTH
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State | GA
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Zip | 30096-3257
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Country | US
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Telephone | 770-800-8181
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SUE KIM
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Credential |
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Telephone | 770-296-3419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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