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General NPI Number Information
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NPI Number | 1205748720
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Entity Type | Organization
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Legal Business Name | HEALTH CENTER MSO LLC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 1375 PEACHTREE ST NE STE 185S
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City | ATLANTA
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State | GA
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Zip | 30309-3173
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Country | US
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Telephone | 877-254-3207
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Fax | 877-254-3207
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Provider Business Mailing Address
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Address Line | 1375 PEACHTREE ST NE STE 185S
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City | ATLANTA
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State | GA
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Zip | 30309-3173
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Country | US
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Telephone | 877-254-3207
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Fax | 877-254-3207
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. BRADLEY SMITH
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Credential | MD
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Telephone | 877-254-3207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State |
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