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General NPI Number Information
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NPI Number | 1619756632
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Entity Type | Organization
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Legal Business Name | VERNU 2 INC
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Dates
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Enumeration Date | 09/28/2023
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 11680 GREAT OAKS WAY STE 310-A
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City | ALPHARETTA
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State | GA
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Zip | 30022-2457
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Country | US
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Telephone | 770-755-5441
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Fax |
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Provider Business Mailing Address
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Address Line | 3333 OLD MILTON PKWY STE 360
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City | ALPHARETTA
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State | GA
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Zip | 30005-4626
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Country | US
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Telephone | 770-755-5441
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KELLY C MCCANTS
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Credential | MD
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Telephone | 678-855-6535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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