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General NPI Number Information
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NPI Number | 1952638769
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Entity Type | Organization
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Legal Business Name | GREATER WORKS, INC.
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Dates
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Enumeration Date | 11/16/2009
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Last Update Date | 11/16/2009
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Provider Practice Location Address
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Address Line | 2551 RAINSHOWER DR
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City | DECATUR
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State | GA
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Zip | 30034-2164
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Country | US
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Telephone | 404-668-0818
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Fax |
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Provider Business Mailing Address
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Address Line | 2551 RAINSHOWER DR
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City | DECATUR
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State | GA
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Zip | 30034-2164
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Country | US
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Telephone | 404-668-0818
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | MS. MYRA SURRATT
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Credential |
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Telephone | 404-668-0818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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