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General NPI Number Information
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NPI Number | 1982202115
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Entity Type | Individual
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Provider Name | LONNEKKA PRITICE WILLIAMS LPN
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Gender | Female
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Dates
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Enumeration Date | 10/10/2020
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Last Update Date | 10/10/2020
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Provider Practice Location Address
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Address Line | 3798 CATALPA LN
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City | ELLENWOOD
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State | GA
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Zip | 30294-1921
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Country | US
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Telephone | 404-397-8916
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Fax |
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Provider Business Mailing Address
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Address Line | 3798 CATALPA LN
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City | ELLENWOOD
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State | GA
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Zip | 30294-1921
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Country | US
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Telephone | 404-397-8916
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | PCH008638
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | LPN087540
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | LPN087540
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | LPN087540
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | LPN087540
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PCH008638
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | LPN087540
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License Number State | GA
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Taxonomy #8
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | PCH008638
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License Number State | GA
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Taxonomy #9
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number | PCH008638
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License Number State | GA
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Taxonomy #10
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LPN087540
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License Number State | GA
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