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General NPI Number Information
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NPI Number | 1215764576
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Entity Type | Organization
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Legal Business Name | ZEN THERAPEUTICS LLC
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Dates
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Enumeration Date | 09/18/2024
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 3350 NORTHLAKE PKWY NE
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City | ATLANTA
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State | GA
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Zip | 30345-2204
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Country | US
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Telephone | 470-836-0489
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Fax | 404-636-0617
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Provider Business Mailing Address
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Address Line | 3350 NORTHLAKE PKWY NE
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City | ATLANTA
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State | GA
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Zip | 30345-2204
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Country | US
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Telephone | 470-836-0489
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Fax | 404-636-0617
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Authorized Official
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Title or Position | MEDICAL MASSAGE THERAPIST
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Name | MS. JENNIFER DAVIS
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Credential | LMT MMP
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Telephone | 678-755-9522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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