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General NPI Number Information
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NPI Number | 1568047876
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Entity Type | Organization
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Legal Business Name | AUGUSTA ANTI-AGING MEDICINE, LLC
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Dates
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Enumeration Date | 03/17/2021
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 610 PONDER PLACE DR
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City | EVANS
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State | GA
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Zip | 30809-3185
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Country | US
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Telephone | 706-707-2808
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Fax |
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Provider Business Mailing Address
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Address Line | 610 PONDER PLACE DR
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City | EVANS
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State | GA
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Zip | 30809-3185
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Country | US
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Telephone | 706-707-2808
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Fax |
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Authorized Official
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Title or Position | SINGLE MEMBER
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Name | SAMANTHA S TOJINO
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Credential | DNP, FNP-C
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Telephone | 706-707-2808
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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 |
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License Number State |
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