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General NPI Number Information
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NPI Number | 1407623150
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Entity Type | Organization
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Legal Business Name | AICA ORTHOPEDICS P.C.
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Dates
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Enumeration Date | 12/04/2023
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 626 1ST ST
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City | MACON
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State | GA
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Zip | 31201-2805
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Country | US
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Telephone | 678-701-2225
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Fax | 678-701-2226
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Provider Business Mailing Address
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Address Line | PO BOX 674508
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City | MARIETTA
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State | GA
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Zip | 30006-0076
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Country | US
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Telephone | 678-701-2225
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. FRANCIS ACQUAH
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Credential | MD
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Telephone | 678-701-2225
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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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