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General NPI Number Information
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NPI Number | 1295174407
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Entity Type | Organization
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Legal Business Name | MEI SERVICES, INC
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 12/08/2018
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Provider Practice Location Address
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Address Line | 2951 PIEDMONT RD NE SUITE B
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City | ATLANTA
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State | GA
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Zip | 30305-2787
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Country | US
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Telephone | 404-592-0585
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Fax | 404-549-3034
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Provider Business Mailing Address
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Address Line | 2951 PIEDMONT RD NE SUITE B
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City | ATLANTA
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State | GA
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Zip | 30305-2787
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Country | US
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Telephone | 404-592-0585
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Fax | 404-549-3034
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Authorized Official
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Title or Position | COO
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Name | MICHAEL BOGACHEK
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Credential |
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Telephone | 404-592-0585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PHRE009919
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PHRE009919
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License Number State | GA
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