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General NPI Number Information
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NPI Number | 1497547855
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Entity Type | Organization
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Legal Business Name | ATLANTA PROFESSIONAL HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 1205 SAND CASTLE CT
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City | HAMPTON
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State | GA
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Zip | 30228-6055
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Country | US
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Telephone | 470-716-2021
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 SAND CASTLE CT
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City | HAMPTON
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State | GA
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Zip | 30228-6055
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Country | US
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Telephone | 470-716-2021
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANN MARIE ELIZABETH BLACK
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Credential | SURGICAL TECH
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Telephone | 470-716-2021
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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 |
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