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General NPI Number Information
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NPI Number | 1629699160
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Entity Type | Organization
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Legal Business Name | INTEGRITY BUSINESS MANAGEMENT, LLC
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Dates
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Enumeration Date | 05/06/2020
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 3796 SATELLITE BLVD STE 201
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City | DULUTH
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State | GA
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Zip | 30096-5698
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Country | US
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Telephone | 800-559-4707
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Fax |
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Provider Business Mailing Address
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Address Line | 3796 SATELLITE BLVD STE 201
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City | DULUTH
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State | GA
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Zip | 30096-5698
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Country | US
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Telephone | 800-559-4707
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. PAUL CHUKELU
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Credential | MD
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Telephone | 800-559-4704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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