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General NPI Number Information
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NPI Number | 1215190426
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Entity Type | Organization
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Legal Business Name | NEWBORN CLINICS OF AMERICA LLC
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 11/03/2010
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Provider Practice Location Address
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Address Line | 1790 MULKEY ROAD BLDG. 10 SU. 10
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City | AUSTELL
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State | GA
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Zip | 30106
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Country | US
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Telephone | 678-398-0478
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Fax | 770-941-3186
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Provider Business Mailing Address
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Address Line | 1790 MULKEY ROAD BLDG. 10 SU. 10
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City | AUSTELL
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State | GA
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Zip | 30106
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Country | US
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Telephone | 678-398-0478
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Fax | 770-941-3186
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Authorized Official
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Title or Position | NNP BC
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Name | KATHRYN MCKNIGHT
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Credential |
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Telephone | 678-398-0478
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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 | GA
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