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General NPI Number Information
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NPI Number | 1720520091
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Entity Type | Organization
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Legal Business Name | NATION CARE INC GA
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Dates
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Enumeration Date | 11/17/2016
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Last Update Date | 11/17/2016
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Provider Practice Location Address
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Address Line | 1 W COURT SQ SUITE 750
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City | DECATUR
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State | GA
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Zip | 30030-2538
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Country | US
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Telephone | 706-975-6963
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Fax |
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Provider Business Mailing Address
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Address Line | 8405 NORTHLAKE HEIGHTS CIR NE
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City | ATLANTA
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State | GA
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Zip | 30345-2269
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Country | US
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Telephone | 706-975-6963
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | PIUS N FON
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Credential |
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Telephone | 202-702-6407
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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 | 044-R-1541
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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 | 044-R-1541
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License Number State | GA
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