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General NPI Number Information
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NPI Number | 1588440663
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Entity Type | Organization
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Legal Business Name | BETH CARE CENTER LLC
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Dates
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Enumeration Date | 09/05/2023
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 500 LANIER AVE W STE 202B
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-7636
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Country | US
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Telephone | 404-781-8343
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Fax |
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Provider Business Mailing Address
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Address Line | 3054 BROADLEAF TRL
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City | FAIRBURN
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State | GA
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Zip | 30213-7002
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Country | US
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Telephone | 404-781-8343
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ELIZABETH SCOTT
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Credential |
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Telephone | 404-781-8343
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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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