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General NPI Number Information
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NPI Number | 1285346270
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Entity Type | Organization
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Legal Business Name | CARECONNECT HEALTH, INC.
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Dates
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Enumeration Date | 12/21/2022
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 1205 US HIGHWAY 19 S
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City | LEESBURG
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State | GA
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Zip | 31763-4878
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Country | US
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Telephone | 229-759-7028
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Fax | 229-759-7030
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Provider Business Mailing Address
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Address Line | 804 E 16TH AVE
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City | CORDELE
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State | GA
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Zip | 31015-1514
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Country | US
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Telephone | 229-273-8881
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Fax | 229-273-8985
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Authorized Official
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Title or Position | EXECUTIVE SECRETARY
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Name | LINDA YOUNG
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Credential |
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Telephone | 229-273-8881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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