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General NPI Number Information
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NPI Number | 1215371919
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Entity Type | Organization
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Legal Business Name | TSO NETWORK, INC
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Dates
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Enumeration Date | 04/24/2013
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 2711 ASTORIA DR
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City | ALBANY
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State | GA
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Zip | 31701-4301
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Country | US
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Telephone | 229-449-9455
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Fax |
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Provider Business Mailing Address
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Address Line | 2711 ASTORIA DR
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City | ALBANY
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State | GA
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Zip | 31701-4301
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Country | US
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Telephone | 229-449-9455
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. DAVID A HATCH
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Credential | PH.D.
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Telephone | 229-449-9455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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