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General NPI Number Information
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NPI Number | 1528627619
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Entity Type | Organization
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Legal Business Name | KAY'S KARING HANDS, LLC
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Dates
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Enumeration Date | 06/12/2019
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Last Update Date | 06/12/2019
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Provider Practice Location Address
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Address Line | 1561 VIRGINIA AVE STE 105A
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City | COLLEGE PARK
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State | GA
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Zip | 30337-2864
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Country | US
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Telephone | 470-588-7336
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Fax | 844-557-6646
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Provider Business Mailing Address
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Address Line | 1779 STANTON RD SW
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City | ATLANTA
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State | GA
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Zip | 30311-4108
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CERETHA STEPHENS
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Credential | APRN
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Telephone | 470-588-7336
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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