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General NPI Number Information
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NPI Number | 1487997144
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Entity Type | Organization
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Legal Business Name | AMC/NORTH FULTON URGENT CARE #4 LLC
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Dates
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Enumeration Date | 04/01/2013
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Last Update Date | 06/16/2016
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Provider Practice Location Address
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Address Line | 12460 CRABAPPLE RD SUITE 901
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City | ALPHARETTA
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State | GA
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Zip | 30004-6602
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Country | US
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Telephone | 678-762-0574
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Fax | 469-893-7990
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Provider Business Mailing Address
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Address Line | 12460 CRABAPPLE RD SUITE 901
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City | ALPHARETTA
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State | GA
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Zip | 30004-6602
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Country | US
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Telephone | 678-762-0574
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Fax | 469-893-7990
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Authorized Official
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Title or Position | SVP OF OUTPATIENT SERVICES
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Name | MR. MICHAEL K. BURTNETT
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Credential |
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Telephone | 469-893-2153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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