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General NPI Number Information
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NPI Number | 1407091705
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Entity Type | Organization
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Legal Business Name | CLINICA AGAVE CLINIC
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Dates
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Enumeration Date | 12/16/2008
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Last Update Date | 12/16/2008
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Provider Practice Location Address
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Address Line | 4434 JONESBORO RD
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City | FOREST PARK
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State | GA
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Zip | 30297-4313
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Country | US
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Telephone | 404-447-3444
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Fax | 404-377-3445
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Provider Business Mailing Address
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Address Line | 4434 JONESBORO RD
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City | FOREST PARK
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State | GA
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Zip | 30297-4313
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Country | US
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Telephone | 404-447-3444
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Fax | 404-377-3445
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Authorized Official
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Title or Position | PROVIDER
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Name | JUDITH T CHABOT
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Credential | FNP-C
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Telephone | 404-447-3444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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