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General NPI Number Information
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NPI Number | 1437602216
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Entity Type | Organization
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Legal Business Name | MY PARENTS KEEPER INC
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Dates
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Enumeration Date | 07/28/2016
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Last Update Date | 07/28/2016
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Provider Practice Location Address
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Address Line | 1868 WASHINGTON RD STE C
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City | ATLANTA
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State | GA
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Zip | 30344-4129
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Country | US
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Telephone | 404-228-7852
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Fax | 404-941-9070
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Provider Business Mailing Address
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Address Line | 1868 WASHINGTON RD STE C
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City | ATLANTA
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State | GA
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Zip | 30344-4129
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Country | US
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Telephone | 404-228-7852
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Fax | 404-941-9070
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MRS. WENDY BAUGH
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Credential |
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Telephone | 404-228-7852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 060R1528
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License Number State | GA
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