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General NPI Number Information
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NPI Number | 1821468216
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Entity Type | Organization
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Legal Business Name | LIFELINKS RESOURCES LLC
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Dates
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Enumeration Date | 09/29/2015
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Last Update Date | 02/17/2020
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Provider Practice Location Address
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Address Line | 1151 WISTERIA DR SW
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City | MABLETON
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State | GA
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Zip | 30126-5530
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Country | US
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Telephone | 978-944-8439
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Fax |
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Provider Business Mailing Address
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Address Line | 1151 WISTERIA DR SW
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City | MABLETON
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State | GA
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Zip | 30126-5530
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Country | US
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Telephone | 978-944-8439
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TERESIA WANDERI
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Credential |
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Telephone | 978-944-8439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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