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General NPI Number Information
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NPI Number | 1891067922
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Entity Type | Organization
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Legal Business Name | LUNNIC SOLUTIONS INC
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Dates
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Enumeration Date | 02/06/2012
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Last Update Date | 08/03/2022
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Provider Practice Location Address
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Address Line | 2179 LAWRENCEVILLE HWY SUITE 203
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-7712
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Country | US
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Telephone | 678-663-1358
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Fax | 678-691-0154
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Provider Business Mailing Address
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Address Line | 2179 LAWRENCEVILLE HWY SUITE 203
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044
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Country | US
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Telephone | 678-663-1358
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Fax | 678-691-0154
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. NGOZI OGBO
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Credential |
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Telephone | 678-663-1358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 067-R-0650
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License Number State | GA
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