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General NPI Number Information
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NPI Number | 1962311423
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Entity Type | Organization
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Legal Business Name | MIRACLES START HERE LLC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 205 LOWER CREEK PASS
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City | MCDONOUGH
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State | GA
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Zip | 30252-7508
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Country | US
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Telephone | 470-502-7875
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 CUMBERLAND PKWY SE
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City | ATLANTA
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State | GA
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Zip | 30339-3321
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Country | US
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Telephone | 470-502-7875
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MIKIYAMA CLEVELAND
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Credential |
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Telephone | 470-502-7875
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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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Taxonomy #2
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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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