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General NPI Number Information
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NPI Number | 1992219794
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Entity Type | Organization
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Legal Business Name | DRIPFUSION ENTERPRISES
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Dates
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Enumeration Date | 12/01/2017
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Last Update Date | 12/01/2017
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Provider Practice Location Address
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Address Line | 2625 PIEDMONT RD NE STE 56-545
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City | ATLANTA
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State | GA
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Zip | 30324-3086
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Country | US
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Telephone | 678-916-6312
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 379
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City | LITHONIA
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State | GA
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Zip | 30058-0379
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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 | DIRECTOR
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Name | HEARN DUKES
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Credential |
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Telephone | 678-916-6312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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