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General NPI Number Information
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NPI Number | 1588358055
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Entity Type | Organization
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Legal Business Name | THE SMARTIES AGENCY, LLC
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 1438 MCPHERSON AVE SE
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City | ATLANTA
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State | GA
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Zip | 30316-1663
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Country | US
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Telephone | 404-319-1989
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4433
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City | ATLANTA
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State | GA
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Zip | 30302-4433
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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 | MANAGER
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Name | TAMIKA WRIGHT
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Credential |
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Telephone | 404-319-1989
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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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