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General NPI Number Information
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NPI Number | 1184714214
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Entity Type | Organization
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Legal Business Name | GAINESVILLE ENDOSCOPY CENTER, LLC
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 2324 LIMESTONE OVERLOOK STE 200
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City | GAINESVILLE
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State | GA
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Zip | 30501-7443
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Country | US
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Telephone | 770-536-8109
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Fax | 770-536-3203
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Provider Business Mailing Address
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Address Line | PO BOX 908058
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City | GAINESVILLE
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State | GA
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Zip | 30501-0916
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Country | US
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Telephone | 770-297-5324
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Fax | 770-297-9046
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Authorized Official
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Title or Position | OFFICER/AUTHORIZED OFFICIAL
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Name | COLLIN LEMAISTRE
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Credential |
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Telephone | 404-781-2921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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