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General NPI Number Information
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NPI Number | 1306648902
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Entity Type | Organization
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Legal Business Name | VIA HEALTH LLC
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 2366 LENORA CHURCH RD
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City | SNELLVILLE
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State | GA
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Zip | 30078-3233
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Country | US
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Telephone | 470-575-4040
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Fax | 470-280-8820
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Provider Business Mailing Address
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Address Line | 1235 FRIENDSHIP RD STE 115
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City | BRASELTON
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State | GA
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Zip | 30517-5624
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | JACK WRIGHT
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Credential |
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Telephone | 706-655-6866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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