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General NPI Number Information
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NPI Number | 1003374968
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Entity Type | Organization
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Legal Business Name | WE CARE GENERAL MEDICAL CLINIC, LLC
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Dates
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Enumeration Date | 03/08/2019
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Last Update Date | 04/29/2020
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Provider Practice Location Address
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Address Line | 615 COLONIAL PARK DR STE 103
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City | ROSWELL
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State | GA
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Zip | 30075-3773
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Country | US
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Telephone | 470-292-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 2980 SERENADE CT
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City | MILTON
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State | GA
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Zip | 30004-4962
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DZENETA KRNDZIJA
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Credential | FNP-C
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Telephone | 678-447-1646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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