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General NPI Number Information
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NPI Number | 1225302904
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Entity Type | Organization
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Legal Business Name | GM MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 02/28/2012
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | 587 JOSEPH E LOWERY BLVD SW
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City | ATLANTA
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State | GA
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Zip | 30310-1400
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Country | US
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Telephone | 404-549-2526
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Fax | 404-691-5760
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Provider Business Mailing Address
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Address Line | PO BOX 160280
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City | ATLANTA
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State | GA
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Zip | 30316-1005
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Country | US
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Telephone | 404-549-2526
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Fax | 404-691-5760
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE DOE
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Credential |
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Telephone | 202-492-5823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE009818
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License Number State | GA
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