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General NPI Number Information
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NPI Number | 1053280248
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Entity Type | Organization
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Legal Business Name | DIGITAL DYNAMOS LLC
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 300 COLONIAL CENTER PKWY STE 100N
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City | ROSWELL
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State | GA
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Zip | 30076-4892
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Country | US
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Telephone | 512-221-2013
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Fax | 866-892-0310
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Provider Business Mailing Address
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Address Line | 300 COLONIAL CENTER PKWY STE 100N
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City | ROSWELL
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State | GA
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Zip | 30076-4892
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Country | US
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Telephone | 512-221-2013
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Fax | 866-892-0310
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Authorized Official
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Title or Position | CEO
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Name | MR. VIKALP KUMAR
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Credential |
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Telephone | 512-221-2013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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