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General NPI Number Information
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NPI Number | 1457430944
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Entity Type | Organization
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Legal Business Name | GWINNETT COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 2755 SAWNEE AVE
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City | BUFORD
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State | GA
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Zip | 30518-2560
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Country | US
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Telephone | 770-614-2401
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 897
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-0897
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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 | MEDICAL DIRECTOR
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Name | LLOYD M HOFER
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Credential | MD MPH
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Telephone | 770-339-4260
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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 |
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License Number State |
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