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General NPI Number Information
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NPI Number | 1124361092
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Entity Type | Organization
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Legal Business Name | THE EMORY CLINIC, INC
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Dates
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Enumeration Date | 03/29/2013
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Last Update Date | 03/29/2013
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Provider Practice Location Address
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Address Line | 1365 CLIFTON RD NE 4TH FLOOR, ROOM #4331
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City | ATLANTA
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State | GA
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Zip | 30322-1013
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Country | US
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Telephone | 404-778-2010
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Fax |
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Provider Business Mailing Address
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Address Line | 1365 CLIFTON RD NE 4TH FLOOR, ROOM #4331
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City | ATLANTA
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State | GA
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Zip | 30322-1013
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Country | US
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Telephone | 404-778-2010
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. DONALD BRUNN
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Credential |
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Telephone | 404-778-4870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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