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General NPI Number Information
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NPI Number | 1730363656
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Entity Type | Organization
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Legal Business Name | TRUST N CARE SERVICES OF AMERICA INC
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 01/14/2016
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Provider Practice Location Address
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Address Line | 1899 CENTRAL AVE
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City | AUGUSTA
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State | GA
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Zip | 30904-5755
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Country | US
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Telephone | 706-729-5371
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Fax | 706-729-5373
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Provider Business Mailing Address
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Address Line | 1899 CENTRAL AVE
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City | AUGUSTA
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State | GA
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Zip | 30904-5755
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Country | US
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Telephone | 706-729-5371
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Fax | 706-729-5373
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Authorized Official
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Title or Position | OWNER RN ADMINISTRATOR
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Name | PAMELA D GRIFFIN
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Credential | REGISTERED NURSE
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Telephone | 706-729-5371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number | 121R0033
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 121R0033
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 121-R-0033
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 121-R-0033
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 121-R-0033
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 121R0033
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License Number State | GA
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