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General NPI Number Information
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NPI Number | 1609469725
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Entity Type | Organization
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Legal Business Name | ZEN UP WELLNESS LLC
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Dates
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Enumeration Date | 02/19/2021
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 1445 WOODMONT LN NW STE 3391
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City | ATLANTA
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State | GA
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Zip | 30318-2866
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Country | US
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Telephone | 470-485-7192
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 WARE AVE
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City | EAST POINT
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State | GA
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Zip | 30344-3023
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Country | US
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Telephone | 707-342-3337
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | KEVIN GARCIA
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Credential | MED
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Telephone | 470-485-7192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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