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General NPI Number Information
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NPI Number | 1215477583
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Entity Type | Organization
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Legal Business Name | AMERICAN MEDICAL LABORATORIES AND TREATMENT CENTERS
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 821 DAWSONVILLE HWY BUILDING 250 SUITE 101
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City | GAINESVILLE
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State | GA
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Zip | 30501-2636
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Country | US
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Telephone | 678-936-4675
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Fax |
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Provider Business Mailing Address
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Address Line | 821 DAWSONVILLE HWY BUILDING 250 SUITE 101
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City | GAINESVILLE
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State | GA
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Zip | 30501-2636
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Country | US
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Telephone | 678-936-4675
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. DEBORAH LEE MECHWART
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Credential |
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Telephone | 770-815-6393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | GA
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