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General NPI Number Information
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NPI Number | 1629873492
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Entity Type | Organization
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Legal Business Name | L&W MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 6553 HIGHWAY 41
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City | RINGGOLD
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State | GA
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Zip | 30736-2641
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Country | US
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Telephone | 706-965-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 6553 HIGHWAY 41
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City | RINGGOLD
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State | GA
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Zip | 30736-2641
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Country | US
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Telephone | 706-965-6000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LESLIE WEAVER
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Credential | NP
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Telephone | 706-965-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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