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General NPI Number Information
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NPI Number | 1093638009
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Entity Type | Organization
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Legal Business Name | LEGACY HEALTH & INJURY PARTNERS LLC
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 2820 LASSITER RD STE 100
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City | MARIETTA
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State | GA
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Zip | 30062-8332
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Country | US
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Telephone | 770-559-3186
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Fax | 678-579-5775
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Provider Business Mailing Address
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Address Line | 2820 LASSITER RD STE 100
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City | MARIETTA
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State | GA
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Zip | 30062-8332
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Country | US
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Telephone | 770-559-3186
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Fax | 678-579-5775
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Authorized Official
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Title or Position | MANAGER
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Name | NAKIA HOLLIDAY
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Credential |
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Telephone | 770-559-3186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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