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General NPI Number Information
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NPI Number | 1295108652
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Entity Type | Organization
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Legal Business Name | MEDSTOP , LLC
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Dates
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Enumeration Date | 11/07/2015
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Last Update Date | 11/07/2015
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Provider Practice Location Address
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Address Line | 6063 PEACHTREE PKWY SUITE 201 A
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-3303
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Country | US
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Telephone | 404-992-9130
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Fax | 678-969-9919
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Provider Business Mailing Address
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Address Line | 6063 PEACHTREE PKWY SUITE 201 A
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-3303
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Country | US
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Telephone | 404-992-9130
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Fax | 678-969-9919
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Authorized Official
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Title or Position | CEO
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Name | DR. JOHN SALINAS
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Credential | MD
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Telephone | 404-992-9130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number | 038600
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 038600
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 038600
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 038600
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 038600
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License Number State | GA
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