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General NPI Number Information
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NPI Number | 1245660521
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Entity Type | Organization
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Legal Business Name | RAMSAY YOUTH SERVICES OF GEORGIA
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Dates
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Enumeration Date | 11/22/2013
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Last Update Date | 03/04/2014
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Provider Practice Location Address
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Address Line | 3500 RIVERSIDE DR
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City | MACON
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State | GA
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Zip | 31210-2509
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Country | US
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Telephone | 478-477-3829
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Fax | 478-314-1728
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Provider Business Mailing Address
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Address Line | 3500 RIVERSIDE DR
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City | MACON
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State | GA
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Zip | 31210-2509
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Country | US
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Telephone | 478-477-3829
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Fax | 478-314-1728
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Authorized Official
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Title or Position | SRVP CFO
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Name | STEVE FILTON
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Credential |
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Telephone | 800-768-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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