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General NPI Number Information
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NPI Number | 1407765613
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Entity Type | Organization
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Legal Business Name | HADARA HEALTH & WELLNESS OF ELBERTON LLC
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 2117 DR GEORGE WARD RD
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City | ELBERTON
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State | GA
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Zip | 30635-5971
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Country | US
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Telephone | 706-283-3335
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Fax | 706-213-6443
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Provider Business Mailing Address
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Address Line | 2117 DR GEORGE WARD RD
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City | ELBERTON
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State | GA
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Zip | 30635-5971
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Country | US
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Telephone | 706-283-3335
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Fax | 706-213-6443
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Authorized Official
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Title or Position | MANAGER
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Name | CHAIM N HERTZEL
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Credential |
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Telephone | 901-930-6124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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