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General NPI Number Information
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NPI Number | 1396058921
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Entity Type | Organization
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Legal Business Name | AGENCY FOR TOXIC SUBSTANCE AND DISEASE REGISTRY (ATSDR)
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Dates
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Enumeration Date | 07/25/2010
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Last Update Date | 07/25/2010
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Provider Practice Location Address
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Address Line | 4770 BUFORD HWY MS: F-59
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City | ATLANTA
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State | GA
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Zip | 30341-3717
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Country | US
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Telephone | 770-488-0744
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Fax | 770-488-1528
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Provider Business Mailing Address
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Address Line | 1600 CLIFTON RD NE MS: F-59
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City | ATLANTA
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State | GA
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Zip | 30329-4018
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Country | US
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Telephone | 770-488-0744
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Fax | 770-488-1528
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Authorized Official
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Title or Position | DIRECTOR OF ATSDR
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Name | DR. HENRY FALK
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Credential | M.D.,
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Telephone | 18884228737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 25MA05120800
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License Number State | NJ
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