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General NPI Number Information
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NPI Number | 1932755998
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Entity Type | Organization
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Legal Business Name | MEDSNAKE MEDIA LLC
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Dates
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Enumeration Date | 08/15/2019
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Last Update Date | 07/26/2021
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Provider Practice Location Address
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Address Line | 10 GLENLAKE PKWY STE 130
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City | ATLANTA
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State | GA
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Zip | 30328-3495
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Country | US
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Telephone | 678-761-5956
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Fax |
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Provider Business Mailing Address
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Address Line | 70 FALCON TRL
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City | PITTSFORD
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State | NY
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Zip | 14534-2460
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Country | US
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Telephone | 678-761-5956
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | COURTNEY HARRING
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Credential |
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Telephone | 678-761-5956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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