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General NPI Number Information
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NPI Number | 1982228201
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Entity Type | Organization
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Legal Business Name | KEEPING FOCUS LLC
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Dates
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Enumeration Date | 06/02/2020
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Last Update Date | 06/02/2020
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Provider Practice Location Address
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Address Line | 2795 CHASTAIN MEADOWS PKWY
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City | MARIETTA
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State | GA
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Zip | 30066-3361
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Country | US
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Telephone | 601-455-1155
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 754
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City | ACWORTH
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State | GA
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Zip | 30101-0754
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Country | US
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Telephone | 601-455-1155
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | KEMILY ALEXANDER RANKIN
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Credential | OD
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Telephone | 601-455-1155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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