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General NPI Number Information
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NPI Number | 1912158155
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Entity Type | Organization
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Legal Business Name | ATENDA OF GEORGIA INC
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Dates
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Enumeration Date | 10/07/2008
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Last Update Date | 10/07/2008
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Provider Practice Location Address
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Address Line | 15712 SW 41ST ST SUITE 16
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City | DAVIE
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State | FL
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Zip | 33331
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Country | US
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Telephone | 954-217-6055
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Fax | 954-734-2209
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Provider Business Mailing Address
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Address Line | 15712 SW 41ST ST SUITE 16
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City | DAVIE
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State | FL
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Zip | 33331
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Country | US
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Telephone | 954-217-6055
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Fax | 954-734-2209
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | MS. DORIS J MAZAL
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Credential |
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Telephone | 954-217-6055
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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