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General NPI Number Information
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NPI Number | 1942534722
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Entity Type | Organization
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Legal Business Name | AMITY CARE, LLC
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Dates
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Enumeration Date | 09/25/2009
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Last Update Date | 07/26/2018
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Provider Practice Location Address
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Address Line | 161 VILLAGE PKWY NE BLDG 7
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City | MARIETTA
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State | GA
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Zip | 30067
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Country | US
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Telephone | 678-402-5235
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Fax | 770-818-5428
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Provider Business Mailing Address
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Address Line | 161 VILLAGE PKWY NE BLDG 7
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City | MARIETTA
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State | GA
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Zip | 30067-4061
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Country | US
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Telephone | 678-402-5235
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Fax | 770-818-5428
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Authorized Official
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Title or Position | CEO
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Name | AHMAD GHADAMYARI
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Credential |
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Telephone | 678-402-5235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 29670
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License Number State | GA
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