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General NPI Number Information
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NPI Number | 1205011525
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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 | 01/05/2008
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Last Update Date | 01/05/2008
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Provider Practice Location Address
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Address Line | 69 JESSE HILL JR DR SE
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City | ATLANTA
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State | GA
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Zip | 30303-3033
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Country | US
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Telephone | 404-616-3603
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Fax | 404-880-9305
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Provider Business Mailing Address
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Address Line | 69 JESSE HILL JR DR SE
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City | ATLANTA
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State | GA
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Zip | 30303-3033
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Country | US
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Telephone | 404-616-3603
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Fax | 404-880-9305
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Authorized Official
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Title or Position | DOCTOR IN MEDICINE
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Name | DR. ALICIA INES HIDRON
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Credential | M.D.
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Telephone | 404-616-3603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 000813
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License Number State | GA
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