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General NPI Number Information
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NPI Number | 1356953590
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Entity Type | Organization
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Legal Business Name | TC TIME, LLC
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Dates
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Enumeration Date | 08/19/2020
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Last Update Date | 01/21/2021
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Provider Practice Location 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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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 |
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Fax |
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Authorized Official
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Title or Position | CEO/CLINICAL DIRECTOR
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Name | TONY CHUNG
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Credential | DPT
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Telephone | 404-271-8432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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