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General NPI Number Information
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NPI Number | 1144616640
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Entity Type | Organization
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Legal Business Name | ONEBUTTON1
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Dates
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Enumeration Date | 04/10/2015
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Last Update Date | 05/03/2016
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Provider Practice Location Address
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Address Line | 4200 RIVERLAKE WAY
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City | SNELLVILLE
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State | GA
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Zip | 30039-8722
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Country | US
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Telephone | 404-797-8776
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Fax |
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Provider Business Mailing Address
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Address Line | 3375 CENTERVILLE HWY UNIT 392624
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City | SNELLVILLE
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State | GA
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Zip | 30039-0125
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Country | US
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Telephone | 404-797-8776
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Fax | 404-601-4267
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Authorized Official
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Title or Position | AGENT
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Name | DEBORAH MCKINNIES-WESLEY
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Credential |
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Telephone | 678-344-8849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number | 2015011531
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License Number State | GA
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