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General NPI Number Information
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NPI Number | 1720686058
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Entity Type | Organization
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Legal Business Name | WORLDWIDE MEDICAL HEALTHCARE INC
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Dates
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Enumeration Date | 10/09/2020
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Last Update Date | 10/09/2020
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Provider Practice Location Address
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Address Line | 790 CHURCH ST NE STE 300
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City | MARIETTA
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State | GA
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Zip | 30060-8902
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Country | US
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Telephone | 770-389-9116
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Fax | 770-506-4580
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Provider Business Mailing Address
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Address Line | 950 EAGLES LANDING PKWY # 274
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7343
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Country | US
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Telephone | 770-389-9116
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Fax | 770-506-4580
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Authorized Official
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Title or Position | MANAGER
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Name | BUKOLA O
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Credential |
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Telephone | 678-764-3477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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