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General NPI Number Information
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NPI Number | 1720701725
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Entity Type | Organization
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Legal Business Name | HUMAN TUNE-UP CLINIC, LLC.
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 1701 ADAMS DR SW
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City | ATLANTA
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State | GA
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Zip | 30311-3627
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Country | US
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Telephone | 404-640-3023
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 54457
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City | ATLANTA
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State | GA
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Zip | 30308-0457
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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 | OWNER
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Name | MS. ALEM TURPEAU
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Credential | MD
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Telephone | 404-640-3023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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