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General NPI Number Information
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NPI Number | 1407365224
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Entity Type | Organization
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Legal Business Name | ASCENSION WELLNESS INC
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Dates
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Enumeration Date | 09/25/2017
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Last Update Date | 09/25/2017
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Provider Practice Location Address
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Address Line | 1800 PEACHTREE ST NW STE 660
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City | ATLANTA
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State | GA
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Zip | 30309-2522
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Country | US
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Telephone | 404-551-4909
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 PEACHTREE ST NE STE 200
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City | ATLANTA
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State | GA
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Zip | 30309-4503
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Country | US
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Telephone | 904-327-8330
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHET JONES
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Credential |
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Telephone | 904-327-8330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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