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NPI 1396992905

NPI 1396992905 : EMJ HEALTHCARE, INC. : LAWRENCEVILLE, GA

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General NPI Number Information
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    NPI Number           |    1396992905
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    Entity Type          |    Organization 
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    Legal Business Name  |    EMJ HEALTHCARE, INC. 
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Dates
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    Enumeration Date     |    08/26/2008
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    Last Update Date     |    07/18/2015
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Provider Practice Location Address
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    Address Line         |    760 LONGLEAF BLVD. SUITE A
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    City                 |    LAWRENCEVILLE
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    State                |    GA
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    Zip                  |    30046
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    Country              |    US
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    Telephone            |    404-281-1537
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    Fax                  |    678-377-6987
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Provider Business Mailing Address
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    Address Line         |    760 LONGLEAF BLVD. SUITE A
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    City                 |    LAWRENCEVILLE
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    State                |    GA
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    Zip                  |    30046
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    Country              |    US
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    Telephone            |    404-281-1537
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    Fax                  |    678-377-6985
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Authorized Official
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    Title or Position    |    V.P
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    Name                 |     CAROLYN  GOLDEN 
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    Credential           |    
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    Telephone            |    404-323-1610
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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        |    251G00000X
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    Taxonomy Name        |    Community Based Hospice Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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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 |    GA
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