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General NPI Number Information
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NPI Number | 1346178035
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Entity Type | Organization
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Legal Business Name | TC TIME ONE LLC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 1430 FIVE FORKS TRICKUM RD STE 210
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-8183
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Country | US
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Telephone | 404-271-8432
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 PEACHTREE INDUSTRIAL BLVD STE 4108
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City | SUWANEE
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State | GA
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Zip | 30024-4541
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Country | US
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Telephone | 470-238-3683
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Fax | 470-238-3816
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Authorized Official
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Title or Position | OWNER/CHIEF CLINICAL DIRECTOR
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Name | TONY CHUNG
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Credential |
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Telephone | 470-238-3683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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