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General NPI Number Information
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NPI Number | 1750795480
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Entity Type | Organization
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Legal Business Name | WHAT A DAY ADULT DAYCARE
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Dates
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Enumeration Date | 06/20/2014
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Last Update Date | 06/20/2014
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Provider Practice Location Address
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Address Line | 177 COLLEGE ST
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City | JONESBORO
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State | GA
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Zip | 30236-3581
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Country | US
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Telephone | 770-996-0775
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Fax | 770-478-2501
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Provider Business Mailing Address
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Address Line | 177 COLLEGE ST
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City | JONESBORO
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State | GA
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Zip | 30236-3581
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Country | US
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Telephone | 770-996-0775
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Fax | 770-478-2501
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Authorized Official
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Title or Position | CO-DIRECTOR
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Name | KAMILL ALEAHA MALLORY
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Credential |
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Telephone | 770-996-0775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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