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General NPI Number Information
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NPI Number | 1174800114
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Entity Type | Organization
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Legal Business Name | EMORY UNIVERSITY HOSPITAL
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Dates
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Enumeration Date | 11/04/2011
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Last Update Date | 11/04/2011
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Provider Practice Location Address
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Address Line | 1355 CLIFTON RD NE
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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 | 404-778-3401
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Fax |
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Provider Business Mailing Address
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Address Line | 4636 CEDAR WOOD DR SW
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City | LILBURN
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State | GA
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Zip | 30047-4285
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Country | US
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Telephone | 678-458-4258
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Fax |
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Authorized Official
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Title or Position | DIRECTOR CRITICAL CARE MEDICINE
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Name | DR. TIM BUCHMAN
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Credential | MD
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Telephone | 404-686-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | RN080577
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License Number State | GA
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