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General NPI Number Information
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NPI Number | 1912387457
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Entity Type | Organization
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Legal Business Name | ABBY HEALTHCARE SERVICES
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Dates
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Enumeration Date | 05/30/2015
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 2151 FOUNTAIN DR STE 201
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City | SNELLVILLE
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State | GA
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Zip | 30078-6753
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Country | US
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Telephone | 678-615-7258
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Fax | 678-615-7258
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Provider Business Mailing Address
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Address Line | 550 WRENHAVEN CT
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City | LOGANVILLE
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State | GA
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Zip | 30052-6232
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Country | US
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Telephone | 470-535-1524
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Fax | 678-580-5491
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Authorized Official
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Title or Position | DIRECTOR OF NURSING (DON)
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Name | MS. OLUFUNMILAYO T AJALA
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Credential | REGISTERED NURSE
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Telephone | 470-435-5341
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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 | RN222212
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | RN222212
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License Number State | GA
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