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General NPI Number Information
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NPI Number | 1013103423
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Entity Type | Organization
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Legal Business Name | COLUMBUS PALLIATIVE CARE, INC.
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 7020 MOON RD
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City | COLUMBUS
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State | GA
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Zip | 31909-4900
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Country | US
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Telephone | 706-569-7992
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Fax | 706-569-8560
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Provider Business Mailing Address
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Address Line | 7020 MOON RD
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City | COLUMBUS
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State | GA
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Zip | 31909-4900
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Country | US
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Telephone | 706-569-7992
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Fax | 706-569-8560
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/CEO
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Name | MICHAEL A SMAJD
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Credential |
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Telephone | 706-569-7992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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