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General NPI Number Information
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NPI Number | 1043922230
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Entity Type | Organization
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Legal Business Name | EPIC MEDICAL SERVICES, LLC
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 12/19/2022
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Provider Practice Location Address
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Address Line | 122 N. MCDONOUGH ST. SUITE 900
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City | JONESBORO
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State | GA
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Zip | 30236
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Country | US
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Telephone | 678-271-2255
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Fax |
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Provider Business Mailing Address
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Address Line | 11945 HARBOUR TOWN PKWY
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City | FAYETTEVILLE
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State | GA
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Zip | 30215-8046
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Country | US
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Telephone | 770-490-1498
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Fax |
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Authorized Official
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Title or Position | NURSE ADMINISTRATOR
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Name | TANYA TOLEVER
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Credential | RN
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Telephone | 678-271-2255
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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 |
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License Number State |
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