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General NPI Number Information
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NPI Number | 1518061233
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Entity Type | Organization
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Legal Business Name | CARE DYNAMIX LLC
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 09/05/2007
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Provider Practice Location Address
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Address Line | 235 HEMBREE PARK DR SUITE 300
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City | ROSWELL
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State | GA
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Zip | 30076-5700
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Country | US
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Telephone | 770-512-8566
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Fax | 770-512-8558
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Provider Business Mailing Address
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Address Line | 235 HEMBREE PARK DR SUITE 300
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City | ROSWELL
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State | GA
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Zip | 30076-5700
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Country | US
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Telephone | 770-512-8566
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Fax | 770-512-8558
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MR. DAVID JASON GREIFF
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Credential |
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Telephone | 770-512-8566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0904X
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Taxonomy Name | Federal Public Health Clinic/Center
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License Number |
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License Number State |
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