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General NPI Number Information
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NPI Number | 1841597275
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Entity Type | Organization
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Legal Business Name | SHIRLEY'S CAREGIVERS HOME CARE SERVICES
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Dates
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Enumeration Date | 02/21/2011
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Last Update Date | 02/21/2011
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Provider Practice Location Address
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Address Line | 260 PEACHTREE ST STE 2200
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City | ATLANTA
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State | GA
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Zip | 30303-1292
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Country | US
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Telephone | 770-675-3872
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Fax | 678-401-2619
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Provider Business Mailing Address
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Address Line | 260 PEACHTREE ST STE 2200
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City | ATLANTA
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State | GA
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Zip | 30303-1292
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Country | US
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Telephone | 770-675-3872
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Fax | 678-401-2619
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MISS SHIRLEY GLASS
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Credential |
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Telephone | 770-675-3872
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 13364
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License Number State | GA
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