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General NPI Number Information
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NPI Number | 1801618889
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Entity Type | Organization
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Legal Business Name | CARE CIRCLE LLC
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 932 DEXTER DRIVE
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-6539
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Country | US
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Telephone | 914-733-8630
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Fax |
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Provider Business Mailing Address
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Address Line | 932 DEXTER DRIVE
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-6539
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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 | KARESIA JONES
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Credential | RN
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Telephone | 914-733-8630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State |
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