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General NPI Number Information
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NPI Number | 1356290340
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Entity Type | Individual
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Provider Name | DEMARIO LINDSEY CEP
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Gender | Male
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 1 CONCOURSE PKWY
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City | ATLANTA
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State | GA
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Zip | 30328-5564
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Country | US
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Telephone | 678-502-0935
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Fax |
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Provider Business Mailing Address
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Address Line | 3585 OLD MAPLE RD
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City | JOHNS CREEK
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State | GA
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Zip | 30022-3230
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Country | US
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Telephone | 678-502-0935
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Y00000X
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Taxonomy Name | Clinical Exercise Physiologist
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License Number |
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License Number State | GA
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