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General NPI Number Information
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NPI Number | 1952020737
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Entity Type | Organization
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Legal Business Name | LP HEALTHCARE LLC
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Dates
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Enumeration Date | 08/24/2022
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 2407 LENORA CHURCH RD
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City | SNELLVILLE
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State | GA
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Zip | 30078-6916
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Country | US
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Telephone | 470-519-8370
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Fax |
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Provider Business Mailing Address
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Address Line | 3060 EVERGREEN EVE XING
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City | DACULA
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State | GA
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Zip | 30019-3059
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Country | US
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Telephone | 470-519-8370
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LOUIS PAMPENA
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Credential | DC
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Telephone | 470-519-8370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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