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General NPI Number Information
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NPI Number | 1659160687
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Entity Type | Organization
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Legal Business Name | PROACTIVE SCREENING SOLUTIONS LLC
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 9905 N DAVIDSON PKWY STE 105C
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-4231
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Country | US
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Telephone | 800-590-0114
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Fax | 800-590-0114
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Provider Business Mailing Address
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Address Line | 9905 N DAVIDSON PKWY STE 105C
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-4231
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Country | US
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Telephone | 800-590-0114
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TONETTA WHITE ATLEY
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Credential | CCMA,PCT
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Telephone | 800-590-0114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty 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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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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 | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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