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General NPI Number Information
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NPI Number | 1811597461
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Entity Type | Organization
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Legal Business Name | NANORESEARCH, INC
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Dates
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Enumeration Date | 10/31/2020
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Last Update Date | 10/31/2020
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Provider Practice Location Address
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Address Line | 58 EDGEWOOD AVE NE, SUITE 122, COLLABTECH., GSU
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City | ATLANTA
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State | GA
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Zip | 30303
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Country | US
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Telephone | 404-940-3925
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Fax |
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Provider Business Mailing Address
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Address Line | 58 EDGEWOOD AVE NE, SUITE 122, COLLABTECH., GSU
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City | ATLANTA
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State | GA
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Zip | 30303
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Country | US
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Telephone | 404-940-3925
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. DAVID NOYE
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Credential | DIT
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Telephone | 404-717-3559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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