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General NPI Number Information
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NPI Number | 1225577000
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Entity Type | Organization
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Legal Business Name | PRIORITY HOUSECALLS LLC
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Dates
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Enumeration Date | 02/14/2017
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Last Update Date | 04/27/2017
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Provider Practice Location Address
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Address Line | 225 SCENIC HWY STE 200
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046
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Country | US
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Telephone | 678-979-3905
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Fax |
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Provider Business Mailing Address
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Address Line | 225 SCENIC HWY STE 200
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046
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Country | US
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Telephone | 678-979-3905
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MELISSA ROMULUS PAULINE
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Credential | NP
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Telephone | 678-979-3905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | RN176139
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN176139
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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