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General NPI Number Information
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NPI Number | 1649939190
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Entity Type | Organization
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Legal Business Name | HEARTS OF HOPE HOME CARE OF GEORGIA, LLC
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Dates
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Enumeration Date | 12/13/2021
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 115 LAUREL DR NE
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City | ATLANTA
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State | GA
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Zip | 30342-4103
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Country | US
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Telephone | 281-653-2040
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Fax |
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Provider Business Mailing Address
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Address Line | 115 LAUREL DR NE
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City | ATLANTA
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State | GA
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Zip | 30342-4103
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Country | US
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Telephone | 281-653-2040
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. KIYOKO AUGUSTUS
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Credential |
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Telephone | 972-746-5834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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