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General NPI Number Information
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NPI Number | 1821900499
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Entity Type | Organization
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Legal Business Name | SENIOR ANGEL COMPANIONS
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Dates
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Enumeration Date | 09/19/2026
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Last Update Date | 09/19/2026
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Provider Practice Location Address
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Address Line | 5051 WARM SPRINGS RD STE B
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City | COLUMBUS
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State | GA
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Zip | 31909-6951
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Country | US
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Telephone | 706-573-8591
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Fax |
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Provider Business Mailing Address
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Address Line | 2986 WATERHILL DR
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City | MIDLAND
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State | GA
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Zip | 31820-3491
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Country | US
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Telephone | 706-593-8825
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | THERESA HARRIS
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Credential | CNA
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Telephone | 706-593-8825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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