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General NPI Number Information
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NPI Number | 1457550360
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Entity Type | Organization
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Legal Business Name | AFRIA HEALTHCARE, LLC
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 4319 COVINGTON HWY STE 309M
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City | DECATUR
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State | GA
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Zip | 30035-1207
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Country | US
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Telephone | 404-284-7178
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Fax | 404-284-7213
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Provider Business Mailing Address
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Address Line | 4319 COVINGTON HWY STE 309M
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City | DECATUR
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State | GA
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Zip | 30035-1207
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Country | US
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Telephone | 404-284-7178
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Fax | 404-284-7213
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MISS VALERIA KAYE HAMILTON
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Credential | RN
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Telephone | 404-284-7178
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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 | 044-R-0099
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License Number State | GA
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