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General NPI Number Information
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NPI Number | 1487810347
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Entity Type | Organization
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Legal Business Name | MOREHOUSE SCHOOL OF MEDICINE
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 720 WESTVIEW DR SW
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City | ATLANTA
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State | GA
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Zip | 30310-1458
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Country | US
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Telephone | 404-752-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 720 WESTVIEW DR SW
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City | ATLANTA
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State | GA
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Zip | 30310-1458
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Country | US
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Telephone | 404-752-1500
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Fax |
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Authorized Official
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Title or Position | ASSISSATNT DIRECTOR, GME
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Name | MS. COYEAA KIZZIE
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Credential |
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Telephone | 404-752-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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