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General NPI Number Information
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NPI Number | 1861347635
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Entity Type | Organization
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Legal Business Name | CALMITUDE DIRECT PRIMARY CARE LLC
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 275 CARPENTER DR STE 300
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-4911
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Country | US
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Telephone | 678-842-4134
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Fax |
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Provider Business Mailing Address
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Address Line | 275 CARPENTER DR STE 300
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-4911
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Country | US
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Telephone | 470-471-4243
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KRISTY LEVARITY CONLEY
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Credential |
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Telephone | 470-471-4243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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