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General NPI Number Information
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NPI Number | 1407730005
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Entity Type | Organization
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Legal Business Name | ATHENA INTEGRATIVE HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 850 DOGWOOD RD STE NO2131
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-7218
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Country | US
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Telephone | 470-567-0215
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Fax | 470-264-1399
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Provider Business Mailing Address
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Address Line | 850 DOGWOOD RD STE NO2131
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-7218
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Country | US
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Telephone | 470-567-0215
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Fax | 470-264-1399
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Authorized Official
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Title or Position | CEO
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Name | PEARL AKU AMOAKO
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Credential | NP
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Telephone | 470-567-0215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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