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General NPI Number Information
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NPI Number | 1932853660
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Entity Type | Organization
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Legal Business Name | DOVES CONSULTANT SERVICE LLC
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 6831 MADDOX RD
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City | MORROW
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State | GA
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Zip | 30260-3222
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Country | US
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Telephone | 770-371-4798
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Fax | 866-384-7492
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Provider Business Mailing Address
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Address Line | 706 RADFORD ST # B
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City | MONROE
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State | GA
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Zip | 30655-2742
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Country | US
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Telephone | 770-371-4798
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Fax | 866-384-7492
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Authorized Official
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Title or Position | CEO
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Name | MS. LAVIVIAN D BRIDGES
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Credential |
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Telephone | 770-371-4798
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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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