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General NPI Number Information
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NPI Number | 1083442248
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Entity Type | Organization
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Legal Business Name | PLUTONIC, INC.
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Dates
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Enumeration Date | 07/22/2024
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 107 TECHNOLOGY PKWY # 506
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-2909
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Country | US
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Telephone | 678-466-0972
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Fax |
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Provider Business Mailing Address
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Address Line | 2950 RICHMOND ROW DR UNIT 2344
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City | SUWANEE
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State | GA
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Zip | 30024-7827
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Country | US
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Telephone | 292-133-5849
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Fax |
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Authorized Official
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Title or Position | FOUNDER & CEO
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Name | JAMES SHU
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Credential |
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Telephone | 929-213-3584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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