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General NPI Number Information
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NPI Number | 1255500112
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Entity Type | Organization
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Legal Business Name | MEDICAL HOUSE CALLS
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 02/25/2008
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Provider Practice Location Address
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Address Line | 4749 LIMESTONE LN NW
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City | ACWORTH
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State | GA
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Zip | 30102-6484
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Country | US
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Telephone | 770-856-3975
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Fax |
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Provider Business Mailing Address
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Address Line | 50 BARRETT PKWY 1200-339
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City | MARIETTA
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State | GA
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Zip | 30066-3300
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Country | US
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Telephone | 770-856-3975
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Fax | 770-485-4737
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Authorized Official
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Title or Position | OWNER
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Name | MS. THERESE WILLIAMS DUMAS
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Credential | APRN-BC
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Telephone | 770-856-3975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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