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General NPI Number Information
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NPI Number | 1447791900
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Entity Type | Organization
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Legal Business Name | ELIAN STAFFING ASSOCIATES, LLC
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Dates
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Enumeration Date | 03/16/2017
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Last Update Date | 03/16/2017
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Provider Practice Location Address
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Address Line | 438 GRAYSON PKWY
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City | GRAYSON
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State | GA
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Zip | 30017-1219
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Country | US
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Telephone | 770-371-5888
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Fax | 844-336-0999
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Provider Business Mailing Address
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Address Line | 438 GRAYSON PKWY
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City | GRAYSON
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State | GA
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Zip | 30017-1219
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Country | US
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Telephone | 770-371-5888
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Fax | 844-336-0999
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Authorized Official
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Title or Position | CEO
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Name | MS. SANDRA A M PARYAG
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Credential | LPN, BA
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Telephone | 770-371-5888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | GA
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