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General NPI Number Information
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NPI Number | 1912692674
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Entity Type | Organization
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Legal Business Name | INX HEALTHCARE
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 267 LANGLEY DR # 1008
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-6907
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Country | US
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Telephone | 770-695-1206
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Fax |
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Provider Business Mailing Address
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Address Line | 588 VILLAGE RUN
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-5078
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Country | US
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Telephone | 770-695-1206
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEONIE TAMARA HEWLING
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Credential | LPN
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Telephone | 770-695-1206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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