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General NPI Number Information
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NPI Number | 1902637382
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Entity Type | Organization
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Legal Business Name | A FAMILIAR FACE HOMECARE LLC
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Dates
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Enumeration Date | 08/08/2024
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 2440 WISTERIA DR UNIT 1643
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City | SNELLVILLE
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State | GA
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Zip | 30078-4842
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Country | US
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Telephone | 404-801-4101
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Fax |
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Provider Business Mailing Address
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Address Line | 2440 WISTERIA DR
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City | SNELLVILLE
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State | GA
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Zip | 30078-0337
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Country | US
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Telephone | 404-801-4101
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JORDEAN ANDERSON
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Credential |
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Telephone | 404-801-4101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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