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General NPI Number Information
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NPI Number | 1205483252
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Entity Type | Organization
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Legal Business Name | AMC ENTERPRISES (MN) INC
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Dates
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Enumeration Date | 08/23/2019
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Last Update Date | 08/23/2019
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Provider Practice Location Address
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Address Line | 3355 LENOX RD NE STE 750
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City | ATLANTA
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State | GA
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Zip | 30326-1353
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Country | US
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Telephone | 404-870-8078
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Fax | 866-588-7143
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Provider Business Mailing Address
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Address Line | 3355 LENOX RD NE STE 750
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City | ATLANTA
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State | GA
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Zip | 30326-1353
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Country | US
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Telephone | 404-870-8078
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Fax | 866-588-7143
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Authorized Official
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Title or Position | CEO
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Name | MRS. CYNTHIA DIANE DIX
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Credential |
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Telephone | 703-819-9436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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