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General NPI Number Information
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NPI Number | 1265647812
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Entity Type | Organization
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Legal Business Name | WELLSTAR PAULDING MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2518 JIMMY LEE SMITH PARKWAY
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City | HIRAM
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State | GA
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Zip | 30141
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Country | US
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Telephone | 470-644-7020
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Fax | 470-644-7394
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Provider Business Mailing Address
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Address Line | 2518 JIMMY LEE SMITH PARKWAY
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City | HIRAM
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State | GA
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Zip | 30141
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Country | US
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Telephone | 470-644-7010
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Fax | 470-644-7394
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Authorized Official
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Title or Position | VP PHARMACY SERVICES
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Name | DR. SNEHAL DOSHI
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Credential | PHARMD
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Telephone | 470-644-0322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | PHH007939
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PHRE002649
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License Number State | GA
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