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General NPI Number Information
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NPI Number | 1093687584
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Entity Type | Organization
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Legal Business Name | AMED HEALTHCARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 620 PEACHTREE ST NE APT 1006
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City | ATLANTA
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State | GA
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Zip | 30308-2369
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Country | US
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Telephone | 470-601-1113
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Fax |
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Provider Business Mailing Address
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Address Line | 1597 DANSFIELD TRL
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City | SUWANEE
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State | GA
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Zip | 30024-5650
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Country | US
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Telephone | 205-834-4954
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEXIS MEDINA
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Credential | CRNP
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Telephone | 205-834-4954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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