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General NPI Number Information
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NPI Number | 1508130758
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Entity Type | Organization
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Legal Business Name | 2UMEDICAL, INC.
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Dates
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Enumeration Date | 03/06/2012
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 4060 PEACHTREE RD NE D-548
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City | ATLANTA
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State | GA
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Zip | 30319-3020
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Country | US
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Telephone | 404-858-3834
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Fax | 404-855-2885
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Provider Business Mailing Address
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Address Line | 4060 PEACHTREE RD NE D-548
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City | ATLANTA
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State | GA
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Zip | 30319-3020
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Country | US
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Telephone | 404-858-3834
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Fax | 404-855-2885
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. SHARAD PATEL
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Credential |
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Telephone | 404-858-3834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1100007204
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License Number State | GA
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