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NPI 1366357782

NPI 1366357782 : ROXEST LLC : SANDY SPRINGS, GA

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General NPI Number Information
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    NPI Number           |    1366357782
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROXEST LLC 
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Dates
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    Enumeration Date     |    08/18/2026
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    Last Update Date     |    08/18/2026
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Provider Practice Location Address
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    Address Line         |    8735 DUNWOODY PL STE R 
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    City                 |    SANDY SPRINGS
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    State                |    GA
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    Zip                  |    30350-2995
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    Country              |    US
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    Telephone            |    406-309-6462
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8735 DUNWOODY PL STE R 
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    City                 |    SANDY SPRINGS
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    State                |    GA
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    Zip                  |    30350-2995
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    Country              |    US
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    Telephone            |    406-309-6462
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ROBERTA  DICKINSON 
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    Credential           |    
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    Telephone            |    406-309-6462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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