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General NPI Number Information
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NPI Number | 1033648654
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Entity Type | Organization
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Legal Business Name | DURALL CAPITAL HOLDINGS, LLC
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 35 LUMPKIN CAMPGROUND RD N
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City | DAWSONVILLE
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State | GA
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Zip | 30534-6206
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Country | US
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Telephone | 706-265-8439
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Fax | 706-265-8442
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Provider Business Mailing Address
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Address Line | 35 LUMPKIN CAMPGROUND RD N
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City | DAWSONVILLE
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State | GA
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Zip | 30534-6206
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Country | US
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Telephone | 706-265-8439
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Fax | 706-265-8442
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER/OWNER
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Name | MR. AARON DURALL
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Credential |
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Telephone | 706-867-4311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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