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General NPI Number Information
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NPI Number | 1104258425
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Entity Type | Organization
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Legal Business Name | EMORY UNIVERSITY
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Dates
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Enumeration Date | 08/09/2013
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Last Update Date | 08/09/2013
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Provider Practice Location Address
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Address Line | 1518 CLIFTON RD NE 8011
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City | ATLANTA
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State | GA
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Zip | 30322-4201
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Country | US
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Telephone | 404-727-8720
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Fax |
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Provider Business Mailing Address
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Address Line | 1518 CLIFTON RD NE 8011
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City | ATLANTA
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State | GA
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Zip | 30322-4201
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXEC VP WOODRUFF HEALTH SCIENCE CTR
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Name | DR. S. WRIGHT CAUGHMAN
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Credential | MD
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Telephone | 404-727-5390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 20984
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License Number State | GA
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