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NPI 1437094943

NPI 1437094943 : CAREICI LLC : ROSWELL, GA

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General NPI Number Information
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    NPI Number           |    1437094943
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    Entity Type          |    Organization 
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    Legal Business Name  |    CAREICI LLC 
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Dates
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    Enumeration Date     |    04/21/2026
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    Last Update Date     |    04/21/2026
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Provider Practice Location Address
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    Address Line         |    976 MANSELL RD STE 500 
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    City                 |    ROSWELL
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    State                |    GA
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    Zip                  |    30076-8849
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    Country              |    US
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    Telephone            |    770-800-3277
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    Fax                  |    770-288-0028
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Provider Business Mailing Address
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    Address Line         |    976 MANSELL RD STE 500 
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    City                 |    ROSWELL
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    State                |    GA
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    Zip                  |    30076-8849
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    Country              |    US
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    Telephone            |    770-800-3277
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    Fax                  |    770-288-0028
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     ANTHONY  IWELUNMOR 
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    Credential           |    MD
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    Telephone            |    734-812-0852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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