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General NPI Number Information
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NPI Number | 1932082898
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Entity Type | Organization
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Legal Business Name | GREATER ZION HEALTHCARE SERVICES, LLC.
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 75 CARRIAGE LAKE DR
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-6276
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Country | US
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Telephone | 770-880-6924
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Fax |
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Provider Business Mailing Address
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Address Line | 75 CARRIAGE LAKE DR
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-6276
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Country | US
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Telephone | 770-880-6924
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TINA OLUBUNMI AYENI
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Credential | NP
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Telephone | 770-880-6924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing 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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #9
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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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