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General NPI Number Information
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NPI Number | 1396049912
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Entity Type | Organization
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Legal Business Name | STANDARD TECHNOLOGY, INCORPORATED
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Dates
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Enumeration Date | 12/23/2010
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Last Update Date | 12/23/2010
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Provider Practice Location Address
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Address Line | 191 PEACHTREE ST NE SUITE 3975
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City | ATLANTA
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State | GA
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Zip | 30303-1740
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Country | US
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Telephone | 478-322-0133
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Fax | 478-322-0132
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Provider Business Mailing Address
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Address Line | 191 PEACHTREE ST NE SUITE 3975
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City | ATLANTA
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State | GA
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Zip | 30303-1740
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Country | US
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Telephone | 478-322-0133
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Fax | 478-322-0132
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Authorized Official
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Title or Position | CEO
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Name | MS. DEBORAH J WASHINGTON
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Credential | PH.D.
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Telephone | 478-256-9714
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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