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General NPI Number Information
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NPI Number | 1568733632
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Entity Type | Organization
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Legal Business Name | SANZIE HEALTHCARE SERVICES, INC
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Dates
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Enumeration Date | 01/22/2012
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 115 BRADFORD SQ STE B
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City | FAYETTEVILLE
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State | GA
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Zip | 30215-1962
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Country | US
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Telephone | 770-716-2333
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Fax | 844-270-7142
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Provider Business Mailing Address
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Address Line | 7586 OLDHAM LN
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City | RIVERDALE
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State | GA
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Zip | 30274-3595
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Country | US
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Telephone | 404-736-4343
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Fax | 844-270-7142
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | MS. SANDRA I AGAZIE RN BSN CMSRN
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Credential | RN BSN CMSRN
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Telephone | 770-716-2233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | CLAA001000
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 031-R-0903
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License Number State | GA
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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 031-R-0903
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License Number State | GA
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Taxonomy #8
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | CLAA001000
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License Number State | GA
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Taxonomy #9
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number | CLAA001000
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License Number State | GA
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Taxonomy #10
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #13
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 031R0903
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License Number State | GA
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