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General NPI Number Information
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NPI Number | 1962324426
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Entity Type | Organization
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Legal Business Name | FRUIT OF THE SPIRIT COMPANION SERVICES
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 2004 CARVER DR
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City | FORT VALLEY
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State | GA
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Zip | 31030-4443
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Country | US
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Telephone | 478-718-8793
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Fax | 478-796-9933
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Provider Business Mailing Address
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Address Line | 2004 CARVER DR
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City | FORT VALLEY
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State | GA
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Zip | 31030-4443
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Country | US
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Telephone | 478-718-8793
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Fax | 478-796-9933
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | SHANNON WILLIAMS COCHRAN
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Credential | RN
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Telephone | 478-718-8793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 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 #3
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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