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General NPI Number Information
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NPI Number | 1811277452
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Entity Type | Organization
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Legal Business Name | CARE TECHS MEDICAL, LLC
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Dates
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Enumeration Date | 08/26/2011
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 2380 ROCKAWAY INDUSTRIAL BOULEVARD
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City | CONYERS
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State | GA
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Zip | 30012
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Country | US
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Telephone | 678-827-2367
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Fax | 404-759-2517
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Provider Business Mailing Address
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Address Line | 2380 ROCKAWAY INDUSTRIAL BOULEVARD
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City | CONYERS
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State | GA
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Zip | 30012
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Country | US
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Telephone | 678-827-2367
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Fax | 404-759-2517
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Authorized Official
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Title or Position | OWNER
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Name | MR. MICHAEL LAWRENCE POWELL
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Credential | J.D.
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Telephone | 770-365-4676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State | GA
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