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General NPI Number Information
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NPI Number | 1750026084
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Entity Type | Organization
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Legal Business Name | KOI HEALTHCARE SERVICES CORPORATION
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Dates
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Enumeration Date | 05/02/2022
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 1201 W PEACHTREE ST NW STE 2300
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City | ATLANTA
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State | GA
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Zip | 30309-3453
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Country | US
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Telephone | 470-203-6152
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 W PEACHTREE ST NW STE 2300
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City | ATLANTA
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State | GA
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Zip | 30309-3453
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Country | US
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Telephone | 470-203-6152
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. PENIEL OKONKWO JR.
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Credential |
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Telephone | 404-771-6158
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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 |
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License Number State |
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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 |
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License Number State |
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