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General NPI Number Information
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NPI Number | 1306657218
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Entity Type | Organization
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Legal Business Name | CLINICA MEDICA GEORGIA LLC
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 300 PEARL NIX PKWY STE E
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City | GAINESVILLE
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State | GA
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Zip | 30501-3581
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Country | US
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Telephone | 678-765-0101
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Fax | 678-765-1401
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Provider Business Mailing Address
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Address Line | 300 PEARL NIX PKWY STE E
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City | GAINESVILLE
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State | GA
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Zip | 30501-3581
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Country | US
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Telephone | 678-971-1212
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Fax | 678-765-1401
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Authorized Official
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Title or Position | OWNER AND MD
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Name | DR. GERMAN YANES
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Credential | MD
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Telephone | 678-765-0101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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