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General NPI Number Information
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NPI Number | 1396705935
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Entity Type | Organization
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Legal Business Name | MANCHESTER HEALTH DEPARTMENT
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 300 W PERRY ST
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City | MANCHESTER
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State | GA
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Zip | 31816-1346
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Country | US
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Telephone | 706-846-3353
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Fax | 706-846-2674
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Provider Business Mailing Address
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Address Line | 300 W PERRY ST
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City | MANCHESTER
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State | GA
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Zip | 31816-1346
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Country | US
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Telephone | 706-672-4974
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Fax | 706-672-1065
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | KYLIE MYHAND
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Credential |
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Telephone | 706-298-7709
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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 | REF000026462
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License Number State | GA
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