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General NPI Number Information
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NPI Number | 1053273631
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Entity Type | Organization
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Legal Business Name | CHRIS MARVEL LLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 3822 ALEXANDRA OAK CT
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City | SUWANEE
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State | GA
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Zip | 30024-6551
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Country | US
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Telephone | 770-313-1232
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Fax |
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Provider Business Mailing Address
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Address Line | 165 JACKSON DR
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City | CHAGRIN FALLS
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State | OH
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Zip | 44022-1557
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Country | US
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Telephone | 770-313-1232
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHRISTOPHER DAVIS
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Credential |
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Telephone | 770-313-1232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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