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General NPI Number Information
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NPI Number | 1922320035
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Entity Type | Organization
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Legal Business Name | RHEMA HOUSING INC
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Dates
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Enumeration Date | 02/17/2010
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Last Update Date | 02/17/2010
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Provider Practice Location Address
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Address Line | 1836 CARROLLTON VILLA RICA HWY SUITE 209
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City | VILLA RICA
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State | GA
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Zip | 30180-5192
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Country | US
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Telephone | 770-456-6232
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Fax | 770-456-8707
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Provider Business Mailing Address
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Address Line | 1836 CARROLLTON VILLA RICA HWY SUITE 209
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City | VILLA RICA
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State | GA
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Zip | 30180-5192
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Country | US
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Telephone | 770-456-6232
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Fax | 770-456-8707
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARILYN BRAGG
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Credential |
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Telephone | 770-456-6232
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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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