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General NPI Number Information
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NPI Number | 1144365750
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Entity Type | Organization
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Legal Business Name | REHABILITATION PHYSICIANS OF GEORGIA, P.C.
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 03/14/2018
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Provider Practice Location Address
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Address Line | 2450 ATLANTA HWY STE 903
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City | CUMMING
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State | GA
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Zip | 30040-1252
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Country | US
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Telephone | 404-659-5909
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Fax | 770-399-9449
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Provider Business Mailing Address
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Address Line | 2450 ATLANTA HWY STE 903
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City | CUMMING
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State | GA
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Zip | 30040-1252
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Country | US
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Telephone | 404-659-5909
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Fax | 770-399-9449
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR OF OPERATIONS
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Name | AJORI BURKHAMMER
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Credential |
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Telephone | 404-659-5909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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