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General NPI Number Information
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NPI Number | 1861824575
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Entity Type | Organization
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Legal Business Name | NURSES PLUS GUARDIAN ANGELS, LLC
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 08/05/2013
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Provider Practice Location Address
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Address Line | 12211 GA HIGHWAY 42 S
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City | BYRON
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State | GA
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Zip | 31008-8158
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Country | US
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Telephone | 478-956-1227
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Fax | 478-956-1816
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Provider Business Mailing Address
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Address Line | 12211 GA HIGHWAY 42 S
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City | BYRON
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State | GA
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Zip | 31008-8158
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Country | US
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Telephone | 478-956-1227
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Fax | 478-956-1816
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Authorized Official
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Title or Position | OWNER
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Name | MR. HARVEY L. JOSEPH
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Credential |
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Telephone | 478-956-1227
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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 | 039-R-0007
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License Number State | GA
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