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General NPI Number Information
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NPI Number | 1285510529
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Entity Type | Organization
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Legal Business Name | THE SPA AT BLUEBERRY HILL
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 2135 TOWN CREEK SCHOOL RD
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City | BLAIRSVILLE
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State | GA
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Zip | 30512-5931
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Country | US
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Telephone | 706-994-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 7620 HIGHLAND OAKS DR
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City | YOUNG HARRIS
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State | GA
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Zip | 30582-2082
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Country | US
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Telephone | 706-994-3533
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BRENT KEY
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Credential |
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Telephone | 706-994-3533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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