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General NPI Number Information
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NPI Number | 1003180563
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Entity Type | Organization
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Legal Business Name | ADVANCED HEALTH SOLUTIONS, LLC
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 13190 HIGHWAY 92 STE 70
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City | WOODSTOCK
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State | GA
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Zip | 30188
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Country | US
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Telephone | 770-926-9495
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Fax | 770-926-9284
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Provider Business Mailing Address
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Address Line | 13190 HIGHWAY 92 STE 70-90
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City | WOODSTOCK
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State | GA
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Zip | 30188-4409
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Country | US
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Telephone | 770-926-9495
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Fax | 770-926-9284
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. THOMAS FEDERICO
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Credential | MD
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Telephone | 770-926-9495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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