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General NPI Number Information
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NPI Number | 1437236510
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Entity Type | Organization
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Legal Business Name | ATLANTA HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 03/04/2011
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Provider Practice Location Address
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Address Line | 1007 S WILLIAM ST
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City | ATLANTA
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State | TX
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Zip | 75551-3245
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Country | US
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Telephone | 903-799-3000
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Fax | 903-796-1160
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Provider Business Mailing Address
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Address Line | 1007 S WILLIAM ST
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City | ATLANTA
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State | TX
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Zip | 75551-3245
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Country | US
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Telephone | 903-799-3000
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Fax | 903-796-1160
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Authorized Official
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Title or Position | ASST. ADMINISTRATOR/CNO
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Name | MRS. DEBBIE ROBISON
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Credential |
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Telephone | 903-799-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 001609
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License Number State | TX
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