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General NPI Number Information
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NPI Number | 1790231439
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Entity Type | Organization
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Legal Business Name | NURSE 2 HEALTH HOME CARE LLC
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 1075 PEACHTREE STREET NE
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City | ATLANTA
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State | GA
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Zip | 30309
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Country | US
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Telephone | 404-965-3976
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Fax |
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Provider Business Mailing Address
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Address Line | 66 BROOKVALLEY COMMONS DRIVE
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City | DALLAS
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State | GA
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Zip | 30157
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMBER FOSTER
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Credential |
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Telephone | 404-965-3976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 110-R-1550
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License Number State | GA
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