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General NPI Number Information
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NPI Number | 1659510857
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Entity Type | Organization
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Legal Business Name | A1 MANAGEMENT SERVICES INC
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Dates
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Enumeration Date | 02/11/2009
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Last Update Date | 02/11/2009
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Provider Practice Location Address
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Address Line | 175 BOOTH RD SW APT D-10
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City | MARIETTA
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State | GA
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Zip | 30008-3295
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Country | US
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Telephone | 404-539-1641
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Fax |
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Provider Business Mailing Address
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Address Line | 175 BOOTH ROAD APT D-10
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City | MARIETTA
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State | GA
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Zip | 30008
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Country | US
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Telephone | 404-539-1641
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. RAUL FERIA GONGORA
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Credential |
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Telephone | 404-539-1641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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