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General NPI Number Information
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NPI Number | 1194616987
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Entity Type | Organization
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Legal Business Name | NEXACARE MEDICAL GROUP LLC
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 1870 THE EXCHANGE SE STE 220
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City | ATLANTA
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State | GA
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Zip | 30339-2171
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Country | US
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Telephone | 800-829-5933
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Fax |
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Provider Business Mailing Address
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Address Line | 1870 THE EXCHANGE SE STE 220
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City | ATLANTA
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State | GA
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Zip | 30339-2171
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | FERMON L GRAYS
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Credential |
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Telephone | 800-829-5933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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