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General NPI Number Information
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NPI Number | 1992323398
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Entity Type | Organization
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Legal Business Name | CAREPERKS LLC
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Dates
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Enumeration Date | 07/12/2020
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 1926 NORTHLAKE PKWY STE 101
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City | TUCKER
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State | GA
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Zip | 30084-7069
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Country | US
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Telephone | 404-953-0517
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Fax |
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Provider Business Mailing Address
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Address Line | 1926 NORTHLAKE PKWY STE 101
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City | TUCKER
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State | GA
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Zip | 30084-7069
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Country | US
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Telephone | 404-953-0517
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PRISCILLA MADU
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Credential |
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Telephone | 770-549-0495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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