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General NPI Number Information
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NPI Number | 1346588324
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Entity Type | Organization
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Legal Business Name | PARTNERS IN HEALTH LLC
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Dates
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Enumeration Date | 01/25/2013
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Last Update Date | 07/24/2013
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Provider Practice Location Address
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Address Line | 118 NORTHPARK DR
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City | BRUNSWICK
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State | GA
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Zip | 31520-2111
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Country | US
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Telephone | 912-268-4994
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Fax | 912-434-9096
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Provider Business Mailing Address
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Address Line | 118 NORTHPARK DR
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City | BRUNSWICK
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State | GA
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Zip | 31520-2111
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Country | US
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Telephone | 912-268-4994
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Fax | 912-434-9096
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Authorized Official
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Title or Position | OWNER
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Name | MRS. PATSY J MITCHELL
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Credential | DO
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Telephone | 912-264-6303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 064606
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License Number State | GA
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