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General NPI Number Information
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NPI Number | 1487925871
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Entity Type | Organization
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Legal Business Name | THE AMIT PROGRAM
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Dates
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Enumeration Date | 01/18/2012
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Last Update Date | 01/18/2012
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Provider Practice Location Address
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Address Line | 6255 BARFIELD RD NE STE 100
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City | ATLANTA
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State | GA
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Zip | 30328-4332
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Country | US
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Telephone | 404-961-9966
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Fax | 404-961-9940
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Provider Business Mailing Address
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Address Line | 6255 BARFIELD RD NE
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City | ATLANTA
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State | GA
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Zip | 30328-4319
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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 | EXECUTIVE DIRECTOR
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Name | MRS. LINDA ZIMMERMAN
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Credential |
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Telephone | 404-961-9966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | GA
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