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General NPI Number Information
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NPI Number | 1275714438
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Entity Type | Organization
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Legal Business Name | O AKHRAS MD PC
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Dates
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Enumeration Date | 11/16/2007
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 120 SPARTA HWY
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City | EATONTON
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State | GA
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Zip | 31024
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Country | US
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Telephone | 706-485-4002
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Fax | 706-485-7117
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Provider Business Mailing Address
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Address Line | 120 SPARTA HIGHWAY P O BOX 3280
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City | EATONTON
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State | GA
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Zip | 31024
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Country | US
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Telephone | 706-485-4002
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Fax | 706-485-7117
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Authorized Official
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Title or Position | PRESIDENT
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Name | OMAR AKHRAS
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Credential | MD
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Telephone | 706-444-6521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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