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General NPI Number Information
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NPI Number | 1659662435
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Entity Type | Organization
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Legal Business Name | EXCEEDS THEIR NEEDS
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Dates
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Enumeration Date | 04/27/2011
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Last Update Date | 04/27/2011
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Provider Practice Location Address
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Address Line | 2786 TOPAZ RD
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City | RIVERDALE
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State | GA
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Zip | 30296-6015
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Country | US
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Telephone | 770-996-1054
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Fax | 770-996-1054
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Provider Business Mailing Address
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Address Line | 2786 TOPAZ RD
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City | RIVERDALE
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State | GA
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Zip | 30296-6015
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Country | US
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Telephone | 770-996-1054
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. ANGELA V JONES
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Credential |
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Telephone | 404-789-5649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 1501013467
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License Number State | GA
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