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General NPI Number Information
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NPI Number | 1063229466
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Entity Type | Organization
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Legal Business Name | CJC HEALTH SOLUTIONS, LLC
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 2311 HENRY CLOWER BLVD STE E
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City | SNELLVILLE
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State | GA
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Zip | 30078-7418
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Country | US
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Telephone | 678-904-4251
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Fax | 678-904-4759
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Provider Business Mailing Address
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Address Line | 2311 HENRY CLOWER BLVD STE E
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City | SNELLVILLE
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State | GA
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Zip | 30078-7418
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Country | US
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Telephone | 678-904-4251
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Fax | 678-904-4759
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CERINENA COLINE REDMAN-MCLEAN
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Credential | NP
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Telephone | 770-309-9489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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