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General NPI Number Information
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NPI Number | 1609743210
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Entity Type | Organization
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Legal Business Name | OPULENT HOSPICE AND PALLIATIVE CARE
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 3295 RIVER EXCHANGE DR STE 212
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City | NORCROSS
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State | GA
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Zip | 30092-4204
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Country | US
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Telephone | 404-905-8880
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Fax | 470-945-1257
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Provider Business Mailing Address
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Address Line | 3295 RIVER EXCHANGE DR STE 212
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City | NORCROSS
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State | GA
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Zip | 30092-4204
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Country | US
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Telephone | 404-905-8880
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Fax | 470-945-1257
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JENEECE TILLMAN-PORTER
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Credential | RN
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Telephone | 404-905-8880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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