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General NPI Number Information
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NPI Number | 1992272330
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Entity Type | Organization
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Legal Business Name | VERNU MED SPA
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Dates
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Enumeration Date | 10/24/2018
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Last Update Date | 12/11/2018
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Provider Practice Location Address
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Address Line | 501 S MAIN ST STE 202
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City | ALPHARETTA
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State | GA
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Zip | 30009-1975
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Country | US
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Telephone | 770-559-0055
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Fax |
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Provider Business Mailing Address
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Address Line | 11770 HAYNES BRIDGE RD STE 205-499
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City | ALPHARETTA
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State | GA
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Zip | 30009-1966
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Country | US
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Telephone | 770-559-0055
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CINDY MCLENDON HINTON
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Credential | MSN, FNP-C
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Telephone | 770-559-0055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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