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General NPI Number Information
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NPI Number | 1912917899
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Entity Type | Organization
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Legal Business Name | ATLANTA NURSING HOMES INC.
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 200 LIVE OAK
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City | ATLANTA
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State | TX
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Zip | 75551
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Country | US
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Telephone | 903-796-4127
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Fax | 903-796-2991
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Provider Business Mailing Address
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Address Line | PO BOX 240
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City | ATLANTA
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State | TX
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Zip | 75551-0240
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Country | US
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Telephone | 903-796-4127
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Fax | 903-796-2991
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. BETTY LAWSON
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Credential |
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Telephone | 903-796-4127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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