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General NPI Number Information
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NPI Number | 1306617055
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Entity Type | Organization
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Legal Business Name | JOURNEY PROUD, INC.
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Dates
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Enumeration Date | 01/11/2024
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 679 DURANT PL NE APT K
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City | ATLANTA
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State | GA
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Zip | 30308-2090
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Country | US
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Telephone | 678-524-3934
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Fax | 404-420-2718
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Provider Business Mailing Address
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Address Line | 679 DURANT PL NE APT K
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City | ATLANTA
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State | GA
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Zip | 30308-2090
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Country | US
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Telephone | 404-388-9139
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Fax | 404-420-2718
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARK JEFFERY MURRAY
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Credential |
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Telephone | 678-524-3934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number |
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License Number State |
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