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General NPI Number Information
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NPI Number | 1366625139
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Entity Type | Organization
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Legal Business Name | THE ARTHRITIS CENTER AT WINDY HILL,PC
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Dates
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Enumeration Date | 12/14/2007
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | 2550 WINDY HILL RD SE SUITE 101
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City | MARIETTA
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State | GA
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Zip | 30067-8665
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Country | US
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Telephone | 770-933-0288
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Fax | 770-951-1663
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Provider Business Mailing Address
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Address Line | 2550 WINDY HILL RD SE SUITE 101
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City | MARIETTA
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State | GA
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Zip | 30067-8665
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Country | US
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Telephone | 770-933-0288
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Fax | 770-951-1663
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | GLORIA SINGLETON GASTON
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Credential | MD
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Telephone | 770-933-0288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State | GA
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