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General NPI Number Information
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NPI Number | 1760851802
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Entity Type | Organization
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Legal Business Name | METRO HEALTHCARE SOLUTIONS LLC
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Dates
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Enumeration Date | 09/18/2015
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Last Update Date | 09/18/2015
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Provider Practice Location Address
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Address Line | 1475 TERRELL MILL RD SE STE 108
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City | MARIETTA
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State | GA
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Zip | 30067-6049
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Country | US
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Telephone | 770-984-2813
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 674345
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City | MARIETTA
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State | GA
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Zip | 30006-0073
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Country | US
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Telephone | 770-984-2813
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALLAN SPAGNARDI
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Credential |
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Telephone | 404-556-7716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 302R00000X
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License Number State | GA
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