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General NPI Number Information
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NPI Number | 1629311659
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Entity Type | Organization
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Legal Business Name | NUVIDA CORPORATION
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Dates
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Enumeration Date | 03/27/2013
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Last Update Date | 10/03/2013
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Provider Practice Location Address
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Address Line | 444 HIGHLAND AVE NE SUITE G-103
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City | ATLANTA
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State | GA
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Zip | 30312-1301
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Country | US
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Telephone | 404-889-8945
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Fax | 404-506-9748
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Provider Business Mailing Address
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Address Line | 760 WOODLAND AVE SE
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City | ATLANTA
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State | GA
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Zip | 30316-2465
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Country | US
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Telephone | 404-622-5022
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Fax | 404-506-9748
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Authorized Official
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Title or Position | PRESIDENT
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Name | HAROLD TORRES
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Credential |
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Telephone | 404-889-8945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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