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General NPI Number Information
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NPI Number | 1245289024
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC HEALTH CORPORATION
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 1150 HAMMOND DR NE SUITE D4100
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City | ATLANTA
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State | GA
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Zip | 30328-5334
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Country | US
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Telephone | 678-320-9030
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Fax | 678-441-0744
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Provider Business Mailing Address
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Address Line | 2764 PELHAM PKWY
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City | PELHAM
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State | AL
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Zip | 35124-1702
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Country | US
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Telephone | 205-685-5000
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | MRS. SHERI MILLER
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Credential |
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Telephone | 205-685-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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