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General NPI Number Information
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NPI Number | 1598285892
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Entity Type | Organization
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Legal Business Name | AA PERSONAL CARE, LLC
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Dates
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Enumeration Date | 06/27/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 547 MOYE RD
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City | COLUMBUS
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State | GA
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Zip | 31907
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Country | US
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Telephone | 770-361-6117
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Fax |
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Provider Business Mailing Address
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Address Line | 547 MOYE RD
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City | COLUMBUS
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State | GA
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Zip | 31907-5318
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Country | US
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Telephone | 770-361-6117
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Fax |
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | MS. KATHY MAE ANDERSON
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Credential |
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Telephone | 770-361-6117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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