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General NPI Number Information
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NPI Number | 1386874576
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Entity Type | Organization
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Legal Business Name | GEORGIA HEALTHIER SOLUTIONS, LLC
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Dates
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Enumeration Date | 07/22/2009
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Last Update Date | 10/07/2010
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Provider Practice Location Address
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Address Line | 1029 CLEVELAND AVE
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City | EAST POINT
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State | GA
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Zip | 30344-6719
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Country | US
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Telephone | 404-766-4633
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Fax | 404-766-1108
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Provider Business Mailing Address
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Address Line | PO BOX 229
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City | GRIFFIN
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State | GA
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Zip | 30224-0006
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Country | US
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Telephone | 404-766-4633
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Fax | 404-766-1108
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CECILE Q. NGUYEN
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Credential | M.D.
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Telephone | 404-766-4633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 039644
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License Number State | GA
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