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General NPI Number Information
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NPI Number | 1902181886
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Entity Type | Organization
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Legal Business Name | CIRCLE OF ANGELS HOSPICE, INC
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Dates
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Enumeration Date | 10/11/2011
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Last Update Date | 10/25/2017
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Provider Practice Location Address
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Address Line | 2817 HIGHWAY 212 SW
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City | CONYERS
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State | GA
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Zip | 30094-3350
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Country | US
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Telephone | 770-679-1899
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Fax | 770-648-6060
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Provider Business Mailing Address
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Address Line | 2817 HIGHWAY 212 SW
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City | CONYERS
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State | GA
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Zip | 30094-3350
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Country | US
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Telephone | 770-679-1899
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Fax | 770-648-6060
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MICHELLE DUNBAR
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Credential | RN
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Telephone | 770-882-8401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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