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General NPI Number Information
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NPI Number | 1922870864
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Entity Type | Organization
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Legal Business Name | UNITED BRIDGE CARE LLC
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Dates
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Enumeration Date | 10/24/2023
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 1055 HOWELL MILL RD NW STE 800
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City | ATLANTA
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State | GA
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Zip | 30318-5557
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Country | US
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Telephone | 404-594-4398
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Fax |
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Provider Business Mailing Address
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Address Line | 1863 COMMONS PL
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City | ATLANTA
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State | GA
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Zip | 30318-2081
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DAMANY FISHER
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Credential |
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Telephone | 407-461-9384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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