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General NPI Number Information
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NPI Number | 1063368629
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Entity Type | Organization
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Legal Business Name | ES GROUP LLC
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 10065 LAUREN HALL CT
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City | ALPHARETTA
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State | GA
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Zip | 30022-7590
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Country | US
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Telephone | 770-343-2250
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Fax |
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Provider Business Mailing Address
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Address Line | 9925 HAYNES BRIDGE RD STE 200
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City | JOHNS CREEK
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State | GA
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Zip | 30022-1913
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Country | US
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Telephone | 770-343-2250
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Fax | 770-215-1591
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | CONNIE SMITH
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Credential | SMITH
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Telephone | 770-343-2250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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