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General NPI Number Information
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NPI Number | 1851670236
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Entity Type | Organization
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Legal Business Name | GENTLE WINDS HOME CARE, LLC
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Dates
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Enumeration Date | 08/16/2011
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Last Update Date | 08/16/2011
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Provider Practice Location Address
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Address Line | 3651 PEACHTREE PKWY SUITE 175
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City | SUWANEE
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State | GA
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Zip | 30024-6034
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Country | US
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Telephone | 678-630-3119
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Fax |
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Provider Business Mailing Address
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Address Line | 3651 PEACHTREE PKWY SUITE 175
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City | SUWANEE
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State | GA
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Zip | 30024-6034
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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 | ADMINISTRATOR
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Name | MRS. SANDRA ANDREWS
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Credential |
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Telephone | 678-630-3119
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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 | 060-R-0850
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License Number State | GA
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