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General NPI Number Information
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NPI Number | 1013741685
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Entity Type | Organization
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Legal Business Name | VASAYA HEALTH LLC
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Dates
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Enumeration Date | 08/27/2024
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 1561 MCLENDON AVE NE
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City | ATLANTA
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State | GA
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Zip | 30307-2167
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Country | US
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Telephone | 678-252-6919
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Fax | 678-737-1616
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Provider Business Mailing Address
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Address Line | 18 GREENVILLE ST # 2345
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City | NEWNAN
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State | GA
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Zip | 30263-2789
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Country | US
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Telephone | 678-252-6919
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Fax | 678-737-1616
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | AMBER MARIA DALE
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Credential | NP
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Telephone | 678-850-8575
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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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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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