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General NPI Number Information
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NPI Number | 1427081215
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Entity Type | Organization
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Legal Business Name | CITY OF ATLANTA
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 09/13/2010
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Provider Practice Location Address
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Address Line | 315 BUCKNER
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City | ATLANTA
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State | TX
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Zip | 75551-2238
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Country | US
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Telephone | 903-832-8531
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Fax | 903-832-0287
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Provider Business Mailing Address
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Address Line | 315 BUCKNER
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City | ATLANTA
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State | TX
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Zip | 75551-2238
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Country | US
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Telephone | 903-832-8531
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Fax | 903-832-0287
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Authorized Official
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Title or Position | BUSINESS OFFICE MGR.
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Name | SANDY K JACKSON
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Credential |
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Telephone | 903-832-8531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 034001
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License Number State | TX
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