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General NPI Number Information
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NPI Number | 1538571922
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Entity Type | Organization
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Legal Business Name | ADVANTAGE HOME HEALTH CARE & TRANSPORTATION, LLC
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Dates
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Enumeration Date | 05/20/2014
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Last Update Date | 05/20/2014
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Provider Practice Location Address
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Address Line | 1100 PEACHTREE ST NE SUITE 200
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City | ATLANTA
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State | GA
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Zip | 30309-4501
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Country | US
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Telephone | 800-492-0355
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Fax | 404-492-7121
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Provider Business Mailing Address
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Address Line | 1100 PEACHTREE ST NE SUITE 200
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City | ATLANTA
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State | GA
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Zip | 30309-4501
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Country | US
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Telephone | 800-492-0355
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Fax | 404-492-7121
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Authorized Official
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Title or Position | CEO
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Name | TONDALA HAWK
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Credential |
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Telephone | 800-492-0355
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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 |
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License Number State |
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