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General NPI Number Information
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NPI Number | 1124918826
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Entity Type | Organization
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Legal Business Name | NUTRIX HEALTHCARE
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 10/12/2025
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Provider Practice Location Address
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Address Line | 155 CARNEGIE PL STE 101
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-3981
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Country | US
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Telephone | 404-591-5027
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Fax | 770-507-1962
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Provider Business Mailing Address
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Address Line | 2260 FAIRBURN RD SW
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City | ATLANTA
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State | GA
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Zip | 30331-5014
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Country | US
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Telephone | 404-951-8244
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. RODSHAWNDA D FRANKLIN
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Credential | NP
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Telephone | 404-951-8244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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