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General NPI Number Information
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NPI Number | 1619814977
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Entity Type | Organization
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Legal Business Name | SHIELD HOMECARE
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 1338 GRAN CRIQUE DR
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City | ROSWELL
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State | GA
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Zip | 30076-5202
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Country | US
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Telephone | 404-452-7099
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Fax |
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Provider Business Mailing Address
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Address Line | 1338 GRAN CRIQUE DR
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City | ROSWELL
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State | GA
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Zip | 30076-5202
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Country | US
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Telephone | 404-452-7099
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LINDIWE MPOFU
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Credential |
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Telephone | 404-452-7099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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