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General NPI Number Information
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NPI Number | 1578499406
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE INTERNAL MEDICINE AT DAWSONVILLE, LLC
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 54 CLUB FOREST RD STE 201
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City | DAWSONVILLE
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State | GA
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Zip | 30534-3279
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Country | US
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Telephone | 678-205-9004
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Fax | 678-205-9005
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Provider Business Mailing Address
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Address Line | 3180 N POINT PKWY STE 303
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City | ALPHARETTA
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State | GA
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Zip | 30005-4522
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Country | US
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Telephone | 678-205-9004
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Fax | 678-205-9005
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JACQUELINE TUCCI-PEARSON
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Credential | MD
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Telephone | 678-205-9004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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