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General NPI Number Information
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NPI Number | 1275878365
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Entity Type | Organization
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Legal Business Name | GEORGIA DEPARTMENT OF PUBLIC HEALTH
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Dates
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Enumeration Date | 11/30/2012
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Last Update Date | 11/30/2012
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Provider Practice Location Address
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Address Line | 2 PEACHTREE ST NW FL 15
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City | ATLANTA
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State | GA
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Zip | 30303-3142
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Country | US
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Telephone | 404-657-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 2 PEACHTREE ST NW FL 15
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City | ATLANTA
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State | GA
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Zip | 30303-3142
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MS. KATE PFIRMAN
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Credential |
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Telephone | 404-651-7079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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