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NPI 1346164076

NPI 1346164076 : VYNCA MEDICAL ASSOCIATES, P.A. : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1346164076
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    Entity Type          |    Organization 
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    Legal Business Name  |    VYNCA MEDICAL ASSOCIATES, P.A. 
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Dates
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    Enumeration Date     |    08/06/2026
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    Last Update Date     |    08/06/2026
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Provider Practice Location Address
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    Address Line         |    2727 PACES FERRY RD SE STE 750 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30339-4053
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    Country              |    US
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    Telephone            |    888-227-8884
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    Fax                  |    866-422-9255
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Provider Business Mailing Address
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    Address Line         |    1875 S GRANT ST STE 760 
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    City                 |    SAN MATEO
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    State                |    CA
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    Zip                  |    94402-2670
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    Country              |    US
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    Telephone            |    888-227-8884
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    Fax                  |    866-422-9255
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JOSEPH  JASSER 
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    Credential           |    
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    Telephone            |    602-663-8228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    
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    License Number State |    
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