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General NPI Number Information
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NPI Number | 1497218382
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Entity Type | Organization
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Legal Business Name | COREFELIX INC
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 04/09/2019
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Provider Practice Location Address
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Address Line | 862 MARTIN LUTHER KING JR DR SW
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City | ATLANTA
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State | GA
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Zip | 30314-3642
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Country | US
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Telephone | 424-777-5582
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Fax |
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Provider Business Mailing Address
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Address Line | 507 BISHOP ST NW APT 3404
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City | ATLANTA
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State | GA
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Zip | 30318-4484
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PRINCE CARTER
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Credential |
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Telephone | 424-777-5582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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