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General NPI Number Information
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NPI Number | 1750068565
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Entity Type | Organization
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Legal Business Name | ANK HEALTHCARE, LLC
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 11305 BELL RD STE 105
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City | JOHNS CREEK
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State | GA
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Zip | 30097-9504
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Country | US
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Telephone | 678-787-5001
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Fax |
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Provider Business Mailing Address
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Address Line | 11305 BELL RD STE 105
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City | JOHNS CREEK
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State | GA
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Zip | 30097-9504
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Country | US
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Telephone | 678-787-5001
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | PAMELA KUFAHL
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Credential |
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Telephone | 678-787-5001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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