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General NPI Number Information
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NPI Number | 1669977971
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Entity Type | Organization
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Legal Business Name | LA'TORIAN CARE WITH HEARTS LLC
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 1657 PHOENIX BLVD STE 1
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City | ATLANTA
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State | GA
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Zip | 30349-5554
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Country | US
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Telephone | 678-916-6516
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Fax |
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Provider Business Mailing Address
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Address Line | 1657 PHOENIX BLVD STE 1
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City | ATLANTA
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State | GA
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Zip | 30349-5554
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Country | US
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Telephone | 678-437-7204
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Fax |
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Authorized Official
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Title or Position | OWNER/VICE PRESIDENT
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Name | LATOYA DUDLEY
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Credential |
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Telephone | 678-437-7204
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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 |
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License Number State |
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