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General NPI Number Information
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NPI Number | 1700403912
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Entity Type | Organization
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Legal Business Name | SAPPHIRE PERSONAL CARE ASSOCIATES LTD.
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Dates
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Enumeration Date | 07/03/2020
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Last Update Date | 07/03/2020
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Provider Practice Location Address
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Address Line | 3610 JASMINE COVE LN
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City | SNELLVILLE
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State | GA
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Zip | 30039-8414
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Country | US
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Telephone | 818-232-1897
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Fax |
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Provider Business Mailing Address
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Address Line | 3610 JASMINE COVE LN
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City | SNELLVILLE
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State | GA
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Zip | 30039-8414
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Country | US
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Telephone | 818-232-1897
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/ DIRECTOR
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Name | SHANA BURWELL
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Credential | MBA
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Telephone | 818-232-1897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | NULL
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Taxonomy #2
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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 | NULL
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Taxonomy #3
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Taxonomy Code | 364SH0200X
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Taxonomy Name | Home Health Clinical Nurse Specialist
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State | NULL
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Taxonomy #5
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | NULL
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Taxonomy #6
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State | NULL
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Taxonomy #7
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State | NULL
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Taxonomy #8
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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 | NULL
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