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General NPI Number Information
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NPI Number | 1164184016
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Entity Type | Organization
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Legal Business Name | APEX TELEHEALTH CLINIC LLC
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Dates
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Enumeration Date | 10/07/2021
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 700 MARIETTA ST NW STE C
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City | ATLANTA
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State | GA
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Zip | 30318-5726
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Country | US
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Telephone | 800-619-6337
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Fax | 404-999-6426
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Provider Business Mailing Address
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Address Line | 700 MARIETTA ST NW STE C
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City | ATLANTA
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State | GA
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Zip | 30318-5726
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Country | US
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Telephone | 800-619-6337
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Fax | 404-999-6426
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Authorized Official
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Title or Position | CEO
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Name | SHERITA AMIN
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Credential | NP-BC
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Telephone | 404-877-2022
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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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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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