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General NPI Number Information
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NPI Number | 1982195061
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Entity Type | Organization
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Legal Business Name | AWC NETWORKS, LLC
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 1175 PEACHTREE ST NE STE 100010TH
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City | ATLANTA
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State | GA
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Zip | 30361-3528
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Country | US
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Telephone | 404-946-1820
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Fax | 404-973-0231
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Provider Business Mailing Address
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Address Line | PO BOX 56833
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City | ATLANTA
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State | GA
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Zip | 30343-0833
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Country | US
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Telephone | 404-946-1820
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. APRYL ESPINOZA-WADE
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Credential |
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Telephone | 678-964-5234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State |
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