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General NPI Number Information
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NPI Number | 1982910261
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Entity Type | Organization
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Legal Business Name | MORE CARE II INC
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 5038 STORY MILL RD
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City | HEPHZIBAH
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State | GA
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Zip | 30815-4814
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Country | US
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Telephone | 706-360-1813
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Fax | 706-790-9925
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Provider Business Mailing Address
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Address Line | 5038 STORY MILL RD
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City | HEPHZIBAH
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State | GA
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Zip | 30815-4814
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Country | US
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Telephone | 706-360-1813
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Fax | 706-790-9925
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. CLARA A OWOLABI
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Credential | MA,BS,LPN
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Telephone | 706-360-1813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 326100127D
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number | 326100127D
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | 326100127C
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 326100127B
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License Number State | GA
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