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General NPI Number Information
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NPI Number | 1710386578
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Entity Type | Organization
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Legal Business Name | SIX OAKS CONSULTING LLC
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Dates
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Enumeration Date | 08/18/2014
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Last Update Date | 08/20/2014
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Provider Practice Location Address
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Address Line | 1180 BEAVER RUIN RD
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City | NORCROSS
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State | GA
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Zip | 30093-6801
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Country | US
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Telephone | 615-417-2769
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Fax |
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Provider Business Mailing Address
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Address Line | 1180 BEAVER RUIN RD
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City | NORCROSS
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State | GA
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Zip | 30093-6801
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Country | US
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Telephone | 615-417-2769
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | SOULAIMA DENNAWI
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Credential |
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Telephone | 678-250-9241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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