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General NPI Number Information
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NPI Number | 1205800372
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Entity Type | Organization
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Legal Business Name | FANNIN COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 95 OUIDA STREET
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City | BLUE RIDGE
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State | GA
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Zip | 30513-4627
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Country | US
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Telephone | 706-632-3023
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Fax | 706-632-5257
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Provider Business Mailing Address
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Address Line | 95 OUIDA ST
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City | BLUE RIDGE
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State | GA
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Zip | 30513-4627
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Country | US
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Telephone | 706-632-3023
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Fax | 706-632-5257
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | MS. KELLI KINSEY
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Credential | CPB
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Telephone | 706-529-5741
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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 |
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License Number State | GA
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