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General NPI Number Information
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NPI Number | 1255278818
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Entity Type | Organization
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Legal Business Name | GEORGIA IV THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 6065 ROSWELL RD STE 515
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City | ATLANTA
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State | GA
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Zip | 30328-4015
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Country | US
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Telephone | 312-409-5425
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Fax |
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Provider Business Mailing Address
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Address Line | 6065 ROSWELL RD STE 515
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City | ATLANTA
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State | GA
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Zip | 30328-4015
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Country | US
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Telephone | 312-409-5425
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Fax |
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Authorized Official
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Title or Position | PURCHASING AND INVENTORY
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Name | ELIYAHU YITZHAK CARUTHERS
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Credential |
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Telephone | 224-390-0191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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