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General NPI Number Information
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NPI Number | 1528621042
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Entity Type | Organization
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Legal Business Name | CC&D SERVICES
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Dates
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Enumeration Date | 04/19/2019
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Last Update Date | 02/16/2021
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Provider Practice Location Address
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Address Line | 5040 SNAPFINGER WOODS DR STE 108
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City | DECATUR
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State | GA
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Zip | 30035-4020
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Country | US
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Telephone | 470-709-2915
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Fax |
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Provider Business Mailing Address
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Address Line | 5040 SNAPFINGER WOODS DR STE 108
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City | DECATUR
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State | GA
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Zip | 30035-4020
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Country | US
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Telephone | 470-709-2915
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DARREN CARTER
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Credential |
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Telephone | 770-687-9321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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