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General NPI Number Information
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NPI Number | 1922348259
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Entity Type | Organization
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Legal Business Name | A LOVING TOUCH NURSING SERVICE
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Dates
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Enumeration Date | 02/23/2013
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Last Update Date | 02/23/2013
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Provider Practice Location Address
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Address Line | 4095 IDLEWOOD PARC CT
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City | TUCKER
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State | GA
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Zip | 30084-7830
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Country | US
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Telephone | 770-361-1391
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Fax | 770-734-3049
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Provider Business Mailing Address
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Address Line | 4325 1ST AVE # 2463
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City | TUCKER
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State | GA
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Zip | 30084-4498
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Country | US
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Telephone | 770-361-1391
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Fax | 770-734-3049
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Authorized Official
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Title or Position | CASE MANAGER
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Name | DR. GLORIA JOHNS
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Credential |
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Telephone | 770-361-1391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | RN110249
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License Number State | GA
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