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General NPI Number Information
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NPI Number | 1962362947
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Entity Type | Organization
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Legal Business Name | MED VAULT INC
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 5060 ALLATOONA GTWY
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City | ACWORTH
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State | GA
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Zip | 30101-4906
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Country | US
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Telephone | 470-377-4462
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Fax | 678-744-2849
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Provider Business Mailing Address
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Address Line | 5060 ALLATOONA GTWY
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City | ACWORTH
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State | GA
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Zip | 30101-4906
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Country | US
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Telephone | 470-377-4462
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Fax | 678-744-2849
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Authorized Official
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Title or Position | CEO - PIC
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Name | CHINYERE NWEGBO
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Credential | PHARMD
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Telephone | 470-377-4462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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