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General NPI Number Information
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NPI Number | 1316756927
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Entity Type | Organization
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Legal Business Name | YURHEALTH, LLC
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 03/15/2025
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Provider Practice Location Address
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Address Line | 162 JEKYLL ROAD
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City | BAXLEY
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State | GA
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Zip | 31513
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Country | US
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Telephone | 478-401-0477
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 794
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City | BAXLEY
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State | GA
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Zip | 31515-0794
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Country | US
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Telephone | 478-401-0477
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RICHARD ALTMAN
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Credential |
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Telephone | 478-401-0477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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