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General NPI Number Information
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NPI Number | 1598292310
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Entity Type | Organization
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Legal Business Name | SUPERIOR QUALITY GROUP, INC
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 10719 ALPHARETTA HWY SUITE 324
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City | ROSWELL
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State | GA
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Zip | 30077-5657
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Country | US
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Telephone | 888-647-1150
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Fax | 888-261-6640
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Provider Business Mailing Address
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Address Line | 10719 ALPHARETTA HWY SUITE 324
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City | ROSWELL
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State | GA
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Zip | 30077-5657
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Country | US
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Telephone | 888-647-1150
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Fax | 888-261-6640
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Authorized Official
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Title or Position | CEO
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Name | MR. LAWRENCE YOUNGER
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Credential |
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Telephone | 678-256-4574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State | GA
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