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General NPI Number Information
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NPI Number | 1992034714
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Entity Type | Organization
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Legal Business Name | ONA INC.
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Dates
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Enumeration Date | 12/08/2009
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Last Update Date | 12/08/2009
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Provider Practice Location Address
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Address Line | 3017 HERITAGE RD NE
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-9300
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Country | US
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Telephone | 478-452-3060
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Fax | 478-453-1569
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Provider Business Mailing Address
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Address Line | 3017 HERITAGE RD NE
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-9300
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Country | US
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Telephone | 478-452-3060
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Fax | 478-453-1569
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Authorized Official
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Title or Position | OWNER
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Name | NELL SHEPPARD
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Credential |
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Telephone | 478-452-3060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 03755
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License Number State | GA
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