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General NPI Number Information
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NPI Number | 1619514924
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Entity Type | Organization
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Legal Business Name | OPESDEI HEALTH SOLUTIONS
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Dates
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Enumeration Date | 12/05/2019
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Last Update Date | 12/05/2019
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Provider Practice Location Address
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Address Line | 6615 ABBOTTS BRIDGE ROAD 6615 ABBOTTS BRIDGE ROAD UNIT 1111
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City | JOHNS CREEK
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State | GA
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Zip | 30097
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Country | US
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Telephone | 901-864-5828
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Fax |
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Provider Business Mailing Address
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Address Line | 6615 ABBOTTS BRIDGE ROAD 6615 ABBOTTS BRIDGE ROAD UNIT 1111
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City | JOHNS CREEK
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State | GA
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Zip | 30097
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Country | US
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Telephone | 901-864-5828
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MISS ERIKA JENEEN PEARSON
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Credential |
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Telephone | 901-864-5828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 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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