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General NPI Number Information
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NPI Number | 1780448001
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Entity Type | Organization
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Legal Business Name | MZ VACCINE LLC
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Dates
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Enumeration Date | 02/07/2024
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 2244 HENDERSON MILL RD NE STE 100
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City | ATLANTA
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State | GA
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Zip | 30345-2775
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Country | US
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Telephone | 888-574-8648
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Fax | 770-740-7944
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Provider Business Mailing Address
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Address Line | 6101 NORTHLAKE HEIGHTS CIR NE AVANA CITYNORTH APARTMENTS
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City | ATLANTA
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State | GA
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Zip | 30345-2258
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Country | US
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Telephone | 770-572-1971
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SOWRA HAMID
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Credential |
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Telephone | 770-759-9594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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