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General NPI Number Information
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NPI Number | 1568134310
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Entity Type | Organization
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Legal Business Name | AMAUWIA AMA NURSING SERVICES
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Dates
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Enumeration Date | 09/30/2021
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 961 HEATHCHASE DR
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City | SUWANEE
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State | GA
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Zip | 30024-3622
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Country | US
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Telephone | 167-846-3569
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Fax | 404-393-4148
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Provider Business Mailing Address
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Address Line | 961 HEATHCHASE DR
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City | SUWANEE
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State | GA
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Zip | 30024-3622
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Country | US
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Telephone | 678-463-5695
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Fax | 404-393-4148
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Authorized Official
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Title or Position | OWNER
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Name | AMA OKIVIE
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Credential | MSN-RN
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Telephone | 678-463-5695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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