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General NPI Number Information
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NPI Number | 1881295657
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Entity Type | Organization
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Legal Business Name | HYGEIA HEALTH INC
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | 3983 LAVISTA RD STE 195
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City | TUCKER
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State | GA
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Zip | 30084-5154
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Country | US
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Telephone | 404-946-6398
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Fax |
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Provider Business Mailing Address
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Address Line | 3983 LAVISTA RD STE 195
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City | TUCKER
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State | GA
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Zip | 30084-5154
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Country | US
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Telephone | 404-946-6398
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. RICARDO IBARRIA
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Credential |
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Telephone | 404-946-6398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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