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General NPI Number Information
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NPI Number | 1396410833
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Entity Type | Organization
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Legal Business Name | SMALL INTERVENTIONS HEALTHCARE
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Dates
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Enumeration Date | 08/16/2021
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Last Update Date | 08/16/2021
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Provider Practice Location Address
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Address Line | 2090 LAWRENCEVILLE SUWANEE RD UNIT 2014
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City | SUWANEE
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State | GA
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Zip | 30024-2600
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Country | US
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Telephone | 470-549-2096
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Fax |
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Provider Business Mailing Address
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Address Line | 2090 LAWRENCEVILLE SUWANEE RD UNIT 2014
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City | SUWANEE
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State | GA
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Zip | 30024-2600
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MS. VANESSA SMALL
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Credential | PHD, MBA
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Telephone | 470-549-2096
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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