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General NPI Number Information
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NPI Number | 1639782055
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Entity Type | Organization
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Legal Business Name | LELIA'S ENTERPRISE, LLC
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Dates
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Enumeration Date | 08/25/2020
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Last Update Date | 08/25/2020
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Provider Practice Location Address
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Address Line | 6112 SLOAN PL NE
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City | ATLANTA
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State | GA
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Zip | 30329-3486
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Country | US
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Telephone | 470-451-4084
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15051
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City | ATLANTA
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State | GA
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Zip | 30333-0051
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Country | US
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Telephone | 470-451-4084
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TEYA MILES
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Credential |
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Telephone | 470-451-4084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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