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General NPI Number Information
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NPI Number | 1225566300
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Entity Type | Organization
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Legal Business Name | ASPIRE FERTILITY GEORGIA, LLC
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Dates
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Enumeration Date | 06/01/2017
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Last Update Date | 06/01/2017
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Provider Practice Location Address
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Address Line | 6 CONCOURSE PKWY STE 250
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City | ATLANTA
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State | GA
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Zip | 30328-6117
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Country | US
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Telephone | 678-274-6760
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Fax |
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Provider Business Mailing Address
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Address Line | 6750 WEST LOOP S STE 395
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City | BELLAIRE
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State | TX
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Zip | 77401-4110
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Country | US
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Telephone | 713-425-3003
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Fax |
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Authorized Official
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Title or Position | REV CYCLE MANAGER
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Name | MRS. TSEY-HAYE Y JOHNSON
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Credential |
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Telephone | 713-425-3003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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