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General NPI Number Information
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NPI Number | 1003058728
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Entity Type | Organization
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Legal Business Name | PIEDMONT HOSPITAL
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Dates
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Enumeration Date | 03/26/2009
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Last Update Date | 03/26/2009
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Provider Practice Location Address
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Address Line | 95 COLLIER RD GAMMA KNIFE UNIT
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City | ATLANTA
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State | GA
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Zip | 30309
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Country | US
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Telephone | 404-605-1935
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Fax | 404-605-2934
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Provider Business Mailing Address
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Address Line | 1968 PEACHTREE RD NW
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City | ATLANTA
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State | GA
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Zip | 30309-1281
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Country | US
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Telephone | 404-605-1935
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Fax | 404-605-2934
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Authorized Official
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Title or Position | GAMMA KNIFE UNIT RN
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Name | KRISTEN MARIE SALOME
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Credential | RN
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Telephone | 404-605-1935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 282N0000X
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License Number State | GA
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