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General NPI Number Information
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NPI Number | 1649522772
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Entity Type | Organization
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Legal Business Name | HEALTH CHEX MEDICAL WEIGHT LOSS & WELLNESS CENTER INC.
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Dates
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Enumeration Date | 10/12/2012
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Last Update Date | 10/12/2012
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Provider Practice Location Address
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Address Line | 1572 HIGHWAY 85 N STE 340
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-7729
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Country | US
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Telephone | 770-629-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 1572 HIGHWAY 85 N STE 340
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-7729
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Country | US
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Telephone | 770-629-1600
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. BONITA HUNT
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Credential | ETC
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Telephone | 770-629-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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