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General NPI Number Information
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NPI Number | 1275447369
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Entity Type | Organization
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Legal Business Name | TWO DOC, PLLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 3510 CORPORATE DR
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City | DALTON
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State | GA
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Zip | 30721-4900
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Country | US
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Telephone | 423-602-9530
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 MARKET ST STE 502
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City | CHATTANOOGA
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State | TN
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Zip | 37402-3310
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Country | US
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Telephone | 423-602-9230
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Fax |
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Authorized Official
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Title or Position | ACCOUNT MANAGER/IMPLEMENTATION
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Name | SHANA LANEA FORTENBERRY
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Credential | CMA (AAMA)
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Telephone | 423-602-9530
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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 | NULL
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