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General NPI Number Information
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NPI Number | 1013256130
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Entity Type | Organization
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Legal Business Name | PAULDING AUTO SALES
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Dates
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Enumeration Date | 02/08/2013
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Last Update Date | 02/08/2013
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Provider Practice Location Address
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Address Line | 210 E MEMORIAL DR
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City | DALLAS
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State | GA
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Zip | 30132
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Country | US
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Telephone | 770-445-4781
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Fax |
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Provider Business Mailing Address
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Address Line | 210 E MEMORIAL DR
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City | DALLAS
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State | GA
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Zip | 30132-4321
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Country | US
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Telephone | 770-445-4781
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. SARAH CLARK
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Credential |
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Telephone | 770-445-4781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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