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General NPI Number Information
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NPI Number | 1194602417
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Entity Type | Organization
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Legal Business Name | SATCOMRX LLC
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 6825 JIMMY CARTER BLVD STE 1650A
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City | NORCROSS
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State | GA
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Zip | 30071-1289
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Country | US
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Telephone | 470-456-7791
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Fax | 470-906-0631
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Provider Business Mailing Address
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Address Line | 6825 JIMMY CARTER BLVD STE 1650A
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City | NORCROSS
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State | GA
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Zip | 30071-1289
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Country | US
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Telephone | 470-456-7791
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Fax | 470-906-0631
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR / PA
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Name | THUY LAM
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Credential | PA
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Telephone | 470-456-7791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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