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General NPI Number Information
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NPI Number | 1982233367
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Entity Type | Organization
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Legal Business Name | ATLAS HEALTH GROUP, INC.
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 04/07/2020
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Provider Practice Location Address
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Address Line | 20 PINE ST APT 2211
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City | NEW YORK
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State | NY
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Zip | 10005-1432
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Country | US
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Telephone | 212-655-4476
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Fax | 646-558-7852
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Provider Business Mailing Address
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Address Line | 20 PINE ST APT 2211
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City | NEW YORK
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State | NY
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Zip | 10005-1432
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Country | US
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Telephone | 212-655-4476
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Fax | 646-558-7852
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Authorized Official
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Title or Position | COO
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Name | ALEJANDRO FERNANDEZ
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Credential |
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Telephone | 424-202-4942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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