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General NPI Number Information
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NPI Number | 1457154718
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Entity Type | Organization
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Legal Business Name | USRC GREATER ATLANTA HOME THERAPIES LLC
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 1800 ROSWELL RD STE 1000
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City | MARIETTA
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State | GA
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Zip | 30062-3983
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Country | US
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Telephone | 678-707-5613
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Fax | 678-707-5619
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Provider Business Mailing Address
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Address Line | 1800 ROSWELL RD STE 1000
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City | MARIETTA
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State | GA
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Zip | 30062-3983
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Country | US
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Telephone | 678-707-5613
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Fax | 678-707-5619
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Authorized Official
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Title or Position | CHAIRMAN & PRESIDENT
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Name | MR. THOMAS L. WEINBERG
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Credential |
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Telephone | 214-736-2730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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