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General NPI Number Information
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NPI Number | 1508058181
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Entity Type | Organization
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Legal Business Name | MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 12/08/2014
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Provider Practice Location Address
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Address Line | 4720 WATERS AVE
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City | SAVANNAH
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State | GA
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Zip | 31404-6292
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Country | US
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Telephone | 912-350-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 4720 WATERS AVE
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City | SAVANNAH
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State | GA
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Zip | 31404-6292
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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 | PEDIATRICIAN
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Name | DR. KATARINA STOPKO
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Credential | M.D.
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Telephone | 912-350-8193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 001952
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License Number State | GA
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