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General NPI Number Information
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NPI Number | 1730815424
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Entity Type | Organization
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Legal Business Name | FRESENIUS MEDICAL CARE CENTRAL LAWRENCEVILLE, LLC
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Dates
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Enumeration Date | 07/26/2022
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 706 GRAYSON HWY
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-5736
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Country | US
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Telephone | 678-530-6650
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Fax | 678-530-6660
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Provider Business Mailing Address
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Address Line | 706 GRAYSON HWY
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-5736
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Country | US
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Telephone | 678-530-6650
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Fax | 678-530-6660
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Authorized Official
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Title or Position | MANAGER
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Name | MONIQUE HARTELL
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Credential |
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Telephone | 480-632-3415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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