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General NPI Number Information
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NPI Number | 1952849689
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Entity Type | Organization
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Legal Business Name | SMITH & ASSOCIATES CONSULTING
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Dates
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Enumeration Date | 02/01/2017
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Last Update Date | 02/01/2017
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Provider Practice Location Address
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Address Line | 4841 LENORA CHURCH RD
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City | SNELLVILLE
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State | GA
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Zip | 30039-7707
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Country | US
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Telephone | 404-510-3888
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Fax | 770-679-9494
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Provider Business Mailing Address
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Address Line | 4841 LENORA CHURCH RD
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City | SNELLVILLE
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State | GA
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Zip | 30039-7707
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Country | US
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Telephone | 404-510-3888
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Fax | 770-679-9494
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Authorized Official
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Title or Position | CEO
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Name | MRS. BRENDA A SMITH
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Credential | RN
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Telephone | 404-510-3888
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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 | RN071509
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | RN071509
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number | RN071509
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number | RN071509
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number | RN071509
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | RN071509
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | RN071509
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License Number State | GA
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Taxonomy #8
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | RN071509
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License Number State | GA
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Taxonomy #9
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | RN071509
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License Number State | GA
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