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General NPI Number Information
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NPI Number | 1548177603
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Entity Type | Organization
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Legal Business Name | MEDINEST LLC.
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 2180 SATELLITE BLVD STE 400
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City | DULUTH
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State | GA
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Zip | 30097-4927
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Country | US
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Telephone | 404-853-8931
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Fax | 404-853-8776
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Provider Business Mailing Address
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Address Line | 2180 SATELLITE BLVD STE 400
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City | DULUTH
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State | GA
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Zip | 30097-4927
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Country | US
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Telephone | 404-853-8931
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Fax | 404-853-8776
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. DEMONE THOMAS WEBB
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Credential | MBA
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Telephone | 404-853-8931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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