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General NPI Number Information
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NPI Number | 1720407216
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Entity Type | Organization
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Legal Business Name | AMAZING GRACE CARE INC
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 04/16/2014
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Provider Practice Location Address
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Address Line | 5388 SPRINGBROOK DR
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-3536
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Country | US
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Telephone | 404-578-6007
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Fax | 678-801-6529
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Provider Business Mailing Address
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Address Line | 5388 SPRINGBROOK DR
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-3536
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Country | US
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Telephone | 404-578-6007
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Fax | 678-801-6529
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | DR. ARUNMA B. CHRISTY OGBUAGU
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Credential |
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Telephone | 404-578-6007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 033-R-1078
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 033-R-1078
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License Number State | GA
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