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General NPI Number Information
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NPI Number | 1700753266
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Entity Type | Organization
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Legal Business Name | TIAMOI PRESTIGE SERVICES LTD CO
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 420 BROOCH WAY
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-2532
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Country | US
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Telephone | 678-656-1257
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Fax |
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Provider Business Mailing Address
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Address Line | 420 BROOCH WAY
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-2532
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Country | US
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Telephone | 678-656-1257
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDREA ERGAS-DILLON
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Credential |
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Telephone | 678-656-1257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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