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General NPI Number Information
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NPI Number | 1699383729
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Entity Type | Organization
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Legal Business Name | BENEVOLENT HOME AND HEALTH LLC
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Dates
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Enumeration Date | 07/15/2020
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Last Update Date | 07/15/2020
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Provider Practice Location Address
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Address Line | 290 MLK JR DR SE UNIT 4409
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City | ATLANTA
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State | GA
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Zip | 30312-2540
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Country | US
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Telephone | 404-353-4385
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Fax |
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Provider Business Mailing Address
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Address Line | 290 MLK JR DR SE UNIT 4409
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City | ATLANTA
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State | GA
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Zip | 30312-2540
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST/CEO
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Name | DREAMELLA FURGERSON
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Credential | MS, OTR/L
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Telephone | 404-353-4385
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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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