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General NPI Number Information
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NPI Number | 1780383190
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Entity Type | Organization
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Legal Business Name | GLOBAL IMPACT INTERNATIONAL, INC. D/B/A LICE CLINICS OF AMERICA - ROME
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Dates
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Enumeration Date | 02/24/2023
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Last Update Date | 02/24/2023
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Provider Practice Location Address
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Address Line | 1400 CRANE ST SW STE 116
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City | ROME
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State | GA
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Zip | 30161-6329
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Country | US
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Telephone | 706-528-4033
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 CRANE ST SW STE 116
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City | ROME
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State | GA
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Zip | 30161-6329
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Country | US
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Telephone | 706-528-4033
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JEFF MAUER
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Credential |
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Telephone | 706-766-0003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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