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General NPI Number Information
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NPI Number | 1982217964
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Entity Type | Organization
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Legal Business Name | VERTEX THERAPY SERVICES
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 264 19TH ST NW UNIT 2321
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City | ATLANTA
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State | GA
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Zip | 30363-1150
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Country | US
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Telephone | 706-347-6570
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Fax |
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Provider Business Mailing Address
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Address Line | 264 19TH ST NW UNIT 2321
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City | ATLANTA
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State | GA
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Zip | 30363-1150
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NILKA CLAYTON
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Credential |
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Telephone | 404-490-3650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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