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General NPI Number Information
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NPI Number | 1861299711
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Entity Type | Organization
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Legal Business Name | COMMUNITY OUTREACH PREVENTATIVE CARE INC (COPC)
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 11680 GREAT OAKS WAY STE 170
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City | ALPHARETTA
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State | GA
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Zip | 30022-2483
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Country | US
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Telephone | 866-243-3421
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Fax | 314-754-8111
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Provider Business Mailing Address
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Address Line | 10945 STATE BRIDGE RD STE 401-115
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City | ALPHARETTA
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State | GA
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Zip | 30022-8164
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Country | US
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Telephone | 866-243-3421
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Fax | 314-754-8111
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Authorized Official
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Title or Position | CEO
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Name | MS. VICTORIA BELLS
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Credential |
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Telephone | 618-979-5091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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