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General NPI Number Information
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NPI Number | 1811367097
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Entity Type | Organization
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Legal Business Name | MEDICAL EXAMS DIRECT INC
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Dates
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Enumeration Date | 10/01/2015
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Last Update Date | 10/01/2015
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Provider Practice Location Address
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Address Line | 3295 RIVER EXCHANGE DR SUITE 584
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City | NORCROSS
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State | GA
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Zip | 30092-4241
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Country | US
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Telephone | 770-559-8739
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Fax | 888-208-3010
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Provider Business Mailing Address
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Address Line | 3295 RIVER EXCHANGE DR SUITE 584
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City | NORCROSS
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State | GA
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Zip | 30092-4241
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Country | US
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Telephone | 770-559-8739
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Fax | 888-208-3010
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARGARET SPAIN
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Credential |
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Telephone | 678-820-7976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | GA
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