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General NPI Number Information
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NPI Number | 1316205198
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Entity Type | Organization
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Legal Business Name | GEORGIA HEALTH SCIENCES UNIVERSITY
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Dates
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Enumeration Date | 04/30/2012
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Last Update Date | 04/30/2012
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Provider Practice Location Address
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Address Line | 1120 15TH ST DEPARTMENT OF NEONATOLOGY
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City | AUGUSTA
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State | GA
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Zip | 30912-0004
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Country | US
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Telephone | 706-721-2286
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 15TH ST DEPARTMENT OF NEONATOLOGY
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City | AUGUSTA
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State | GA
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Zip | 30912-0004
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Country | US
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Telephone | 706-721-2286
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Fax |
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Authorized Official
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Title or Position | NEONATOLOGY SECTION CHIEF
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Name | DR. JATINDER BHATIA
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Credential | M.D.
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Telephone | 706-721-2231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | RN214814
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License Number State | GA
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