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General NPI Number Information
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NPI Number | 1639689011
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Entity Type | Organization
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Legal Business Name | VEER LLC
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Dates
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Enumeration Date | 10/11/2017
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Last Update Date | 10/11/2017
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Provider Practice Location Address
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Address Line | 5468 MEMORIAL DR STE A
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City | STONE MOUNTAIN
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State | GA
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Zip | 30083-3267
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Country | US
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Telephone | 404-292-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 375 ROCKBRIDGE RD NW # 172-325
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City | LILBURN
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State | GA
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Zip | 30047-8225
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. DONNA PHILLIPS
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Credential |
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Telephone | 770-527-6549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State | GA
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