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General NPI Number Information
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NPI Number | 1346037165
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Entity Type | Organization
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Legal Business Name | FILLERS.AI CORPORATION
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 2 CRESTLINE DR APT 4
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City | SAN FRANCISCO
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State | CA
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Zip | 94131-1422
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Country | US
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Telephone | 832-894-0511
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Fax | 862-227-4081
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Provider Business Mailing Address
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Address Line | 2875 LAKEWOOD AVE SW # 1138
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City | ATLANTA
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State | GA
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Zip | 30315-5801
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Country | US
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Telephone | 832-894-0511
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Fax | 862-227-4081
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Authorized Official
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Title or Position | CEO
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Name | DR. JUNG JOO MOON
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Credential | MD
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Telephone | 713-904-0106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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