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General NPI Number Information
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NPI Number | 1093154544
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Entity Type | Organization
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Legal Business Name | METRO RESOURCE CENTER, INC
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Dates
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Enumeration Date | 06/18/2013
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Last Update Date | 06/18/2013
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Provider Practice Location Address
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Address Line | 444 EDGEWOOD AVE SE
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City | ATLANTA
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State | GA
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Zip | 30312-1838
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Country | US
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Telephone | 404-524-1023
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Fax |
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Provider Business Mailing Address
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Address Line | 444 EDGEWOOD AVE SE
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City | ATLANTA
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State | GA
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Zip | 30312-1838
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Country | US
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Telephone | 404-524-1023
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MIRIAM THOMPSON
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Credential | LPN
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Telephone | 404-524-1023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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