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General NPI Number Information
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NPI Number | 1841701216
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Entity Type | Organization
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Legal Business Name | AWE4LIFE INC.
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Dates
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Enumeration Date | 10/12/2017
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Last Update Date | 10/12/2017
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Provider Practice Location Address
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Address Line | 1320 JOSEPH AVE
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City | WARNER ROBINS
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State | GA
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Zip | 31088-4503
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Country | US
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Telephone | 478-444-8565
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 JOSEPH AVE
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City | WARNER ROBINS
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State | GA
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Zip | 31088-4503
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Country | US
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Telephone | 478-444-8565
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Fax |
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Authorized Official
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Title or Position | CEO,ADMIN.
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Name | MRS. GERALDINE THOMAS JONES
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Credential | CNA,CEO
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Telephone | 478-444-8565
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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 |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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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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