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General NPI Number Information
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NPI Number | 1497913115
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Entity Type | Organization
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Legal Business Name | DIGNITY CARE SERVICES, LLC
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 1023 LEXUS DR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-2699
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Country | US
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Telephone | 770-291-2115
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Fax |
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Provider Business Mailing Address
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Address Line | 3235 SATELLITE BLVD, BLDG 400, SUITE 300
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City | DULUTH
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State | GA
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Zip | 30096
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Country | US
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Telephone | 770-291-2115
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Fax |
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | MARGARET DAUPHIN
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Credential |
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Telephone | 770-291-2115
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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 | 07077178
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License Number State | GA
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