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General NPI Number Information
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NPI Number | 1073768537
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Entity Type | Organization
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Legal Business Name | COLUMBUS MEDICAL SERVICES
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Dates
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Enumeration Date | 11/25/2008
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Last Update Date | 11/25/2008
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Provider Practice Location Address
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Address Line | 235 W ROOSEVELT AVE SUITE 251
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City | ALBANY
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State | GA
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Zip | 31701-2640
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Country | US
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Telephone | 229-435-3212
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Fax | 229-435-3262
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Provider Business Mailing Address
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Address Line | 2250 CORPORATE PLAZA PKWY SE SUITE 202
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City | SMYRNA
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State | GA
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Zip | 30080-2969
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Country | US
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Telephone | 770-916-1091
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Fax | 770-916-1120
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SARA WATSON
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Credential |
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Telephone | 770-916-1091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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