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General NPI Number Information
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NPI Number | 1821484429
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Entity Type | Organization
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Legal Business Name | INNOVATIVE HEALTH & WELLNESS BUCKHEAD
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Dates
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Enumeration Date | 04/09/2015
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Last Update Date | 04/20/2015
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Provider Practice Location Address
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Address Line | 3115 PIEDMONT RD NE STE. 101-A
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City | ATLANTA
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State | GA
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Zip | 30305-2529
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Country | US
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Telephone | 404-816-0222
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Fax | 404-464-7699
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Provider Business Mailing Address
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Address Line | 3115 PIEDMONT RD NE STE. 101-A
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City | ATLANTA
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State | GA
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Zip | 30305-2529
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Country | US
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Telephone | 404-816-0222
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Fax | 404-464-7699
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Authorized Official
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Title or Position | OWNER
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Name | DAVID M ORLANDO
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Credential |
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Telephone | 404-816-0222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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