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General NPI Number Information
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NPI Number | 1467863381
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Entity Type | Organization
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Legal Business Name | MCCLENDON ASSEMBLIES, LLC
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 3530 REVERE CIR
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City | SNELLVILLE
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State | GA
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Zip | 30039-6042
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Country | US
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Telephone | 678-471-7673
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Fax |
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Provider Business Mailing Address
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Address Line | 3530 REVERE CIR
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City | SNELLVILLE
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State | GA
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Zip | 30039-6042
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Country | US
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Telephone | 678-471-7673
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. QUINJON MCCLENDON
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Credential |
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Telephone | 678-471-7673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | GA
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