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General NPI Number Information
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NPI Number | 1598660771
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Entity Type | Organization
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Legal Business Name | MI AMOUR COLLECTION LLC
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 966 EAGLES LANDING PKWY
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7343
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Country | US
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Telephone | 678-782-5082
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Fax |
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Provider Business Mailing Address
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Address Line | 966 EAGLES LANDING PKWY
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7343
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Country | US
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Telephone | 678-782-5082
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Fax |
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Authorized Official
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Title or Position | CRANIAL PROTHESIS SPECIALIST
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Name | CHARM VEGA
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Credential |
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Telephone | 678-770-4465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number |
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License Number State | NULL
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