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General NPI Number Information
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NPI Number | 1588307490
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Entity Type | Organization
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Legal Business Name | OXOS HEALTHCARE SERVICES GA LLC
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Dates
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Enumeration Date | 04/18/2022
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 1230 PEACHTREE ST NE STE 300
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City | ATLANTA
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State | GA
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Zip | 30309-3565
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Country | US
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Telephone | 855-733-9729
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Fax |
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Provider Business Mailing Address
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Address Line | 1230 PEACHTREE ST NE STE 300
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City | ATLANTA
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State | GA
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Zip | 30309-3565
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | HEAD OF STRATEGY AND OPERATIONS
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Name | DEV MANDAVIA
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Credential |
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Telephone | 770-490-6549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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