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General NPI Number Information
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NPI Number | 1467329508
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Entity Type | Organization
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Legal Business Name | TWTCW
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 371 E PACES FERRY RD NE STE 125
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City | ATLANTA
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State | GA
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Zip | 30305-4286
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Country | US
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Telephone | 470-312-2141
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Fax | 470-312-2141
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Provider Business Mailing Address
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Address Line | 371 E PACES FERRY RD NE STE 125
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City | ATLANTA
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State | GA
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Zip | 30305-4286
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Country | US
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Telephone | 470-312-2141
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Fax | 470-312-2141
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Authorized Official
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Title or Position | OPERATING PARTNER
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Name | TRACY POWELL
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Credential | OPERATING PARTNER
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Telephone | 470-990-6555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number |
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License Number State |
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