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General NPI Number Information
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NPI Number | 1437490950
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Entity Type | Organization
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Legal Business Name | GEORGIA HEALTHCARE & FAMILY SERVICES INC.
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Dates
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Enumeration Date | 03/07/2013
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Last Update Date | 03/07/2013
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Provider Practice Location Address
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Address Line | 1157 ALFORD RD
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City | LITHONIA
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State | GA
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Zip | 30058-6093
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Country | US
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Telephone | 770-864-5707
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Fax |
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Provider Business Mailing Address
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Address Line | 1157 ALFORD RD
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City | LITHONIA
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State | GA
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Zip | 30058-6093
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Country | US
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Telephone | 770-864-5707
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. PAUL O ONOVOH
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Credential | PH.D.
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Telephone | 770-864-5707
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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 | 122-R-0833
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License Number State | GA
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