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General NPI Number Information
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NPI Number | 1326550492
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Entity Type | Organization
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Legal Business Name | OPTIMAL HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 10/30/2017
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Last Update Date | 11/12/2018
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Provider Practice Location Address
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Address Line | 2121 FOUNTAIN DR STE F
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City | SNELLVILLE
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State | GA
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Zip | 30078
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Country | US
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Telephone | 404-465-1933
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 FOUNTAIN DR STE F
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City | SNELLVILLE
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State | GA
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Zip | 30078-2900
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Country | US
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Telephone | 470-448-3177
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. TRICIA C SALMON-ANDERSON
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Credential | FNP
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Telephone | 470-448-3177
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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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