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General NPI Number Information
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NPI Number | 1699165092
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Entity Type | Organization
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Legal Business Name | JUNEPARK INC
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Dates
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Enumeration Date | 01/23/2015
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Last Update Date | 01/23/2015
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Provider Practice Location Address
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Address Line | 2700 PINE TREE RD NE UNIT 1219
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City | ATLANTA
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State | GA
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Zip | 30324-5679
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Country | US
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Telephone | 770-622-1211
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 PINE TREE RD NE UNIT 1219
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City | ATLANTA
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State | GA
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Zip | 30324-5679
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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 | PRESIDENT, CEO
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Name | MS. JUNE PARK
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Credential |
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Telephone | 678-524-1134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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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 | 333300000X
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Taxonomy Name | Emergency Response System Companies
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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 | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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