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General NPI Number Information
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NPI Number | 1861702029
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Entity Type | Organization
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Legal Business Name | THREE C, LLC
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Dates
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Enumeration Date | 10/20/2010
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Last Update Date | 10/20/2010
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Provider Practice Location Address
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Address Line | 3500 LENOX RD SUITE 500
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City | ATLANTA
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State | GA
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Zip | 30326
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Country | US
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Telephone | 877-660-9555
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 LENOX RD SUITE 500
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City | ATLANTA
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State | GA
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Zip | 30326
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Country | US
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Telephone | 877-660-9555
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | LISA QUARTERMAN
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Credential |
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Telephone | 404-434-4192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 143866LGB
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License Number State | GA
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