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General NPI Number Information
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NPI Number | 1740645464
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Entity Type | Organization
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Legal Business Name | POINTE OF CARE,LLC
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Dates
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Enumeration Date | 12/22/2015
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Last Update Date | 02/15/2016
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Provider Practice Location Address
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Address Line | 3379 PEACHTREE RD NE STE. 555
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City | ATLANTA
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State | GA
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Zip | 30326-1031
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Country | US
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Telephone | 404-946-0248
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Fax | 404-946-0249
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Provider Business Mailing Address
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Address Line | 3379 PEACHTREE RD NE STE. 555
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City | ATLANTA
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State | GA
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Zip | 30326-1031
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Country | US
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Telephone | 404-946-0248
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Fax | 404-946-0249
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Authorized Official
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Title or Position | PRESIDENT
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Name | TEKESA MICHELL BLACK
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Credential | FNP-BC
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Telephone | 404-946-0248
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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 | RN214831
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License Number State | GA
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