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General NPI Number Information
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NPI Number | 1467895045
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Entity Type | Organization
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Legal Business Name | FULTON COUNTY DEPARTMENT OF HEALTH
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Dates
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Enumeration Date | 04/12/2013
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Last Update Date | 04/12/2013
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Provider Practice Location Address
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Address Line | 99 JESSE HILL JR DR SE
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City | ATLANTA
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State | GA
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Zip | 30303-3030
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Country | US
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Telephone | 404-613-8618
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Fax | 404-730-1499
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Provider Business Mailing Address
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Address Line | 99 JESSE HILL JR DR SE
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City | ATLANTA
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State | GA
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Zip | 30303-3030
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Country | US
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Telephone | 404-613-8618
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Fax | 404-730-1499
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Authorized Official
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Title or Position | PUBLIC HELATH NURSE III
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Name | MS. TISA W DUPREE BRIGHT
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Credential | RN
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Telephone | 404-613-8618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number | R080890
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License Number State | GA
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