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General NPI Number Information
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NPI Number | 1437458171
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Entity Type | Organization
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Legal Business Name | KENNESTONE HOSPITAL INC
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 677 CHURCH ST NE
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City | MARIETTA
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State | GA
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Zip | 30060-1101
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Country | US
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Telephone | 770-793-9300
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Fax | 770-793-9945
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Provider Business Mailing Address
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Address Line | PO BOX 741683
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City | ATLANTA
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State | GA
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Zip | 30374-1683
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT OF PHARMACY
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Name | SNEHAL DOSHI
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Credential | RPH
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Telephone | 470-644-0392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE009758
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License Number State | GA
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