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General NPI Number Information
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NPI Number | 1326191180
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL RESOURCES MANAGEMENT OF RABUN, LLC
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 162 LEGACY PT
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City | CLAYTON
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State | GA
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Zip | 30525-5354
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Country | US
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Telephone | 706-782-0401
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Fax | 706-782-0451
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Provider Business Mailing Address
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Address Line | 162 LEGACY PT
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City | CLAYTON
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State | GA
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Zip | 30525-5354
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Country | US
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Telephone | 706-782-3100
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Fax | 706-782-6897
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Authorized Official
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Title or Position | CEO
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Name | KRISTY HALL
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Credential |
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Telephone | 706-782-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 119-621
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License Number State | GA
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