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General NPI Number Information
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NPI Number | 1780536730
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Entity Type | Organization
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Legal Business Name | SENOCARE LLC
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 3060 PEACHTREE RD NW STE 140
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City | ATLANTA
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State | GA
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Zip | 30305-2234
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Country | US
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Telephone | 470-749-9997
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Fax | 470-749-9933
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Provider Business Mailing Address
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Address Line | 3060 PEACHTREE RD NW STE 140
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City | ATLANTA
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State | GA
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Zip | 30305-2234
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Country | US
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Telephone | 470-749-9997
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Fax | 470-749-9933
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. STANTON MARK MCKENNA
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Credential | MD
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Telephone | 504-451-5665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number |
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License Number State |
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