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General NPI Number Information
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NPI Number | 1508212390
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Entity Type | Organization
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Legal Business Name | PIEDMONT ATHENS REGIONAL MEDICAL CENTER INC
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Dates
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Enumeration Date | 05/11/2016
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Last Update Date | 04/18/2017
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Provider Practice Location Address
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Address Line | 1305 JENNINGS MILL RD BUILDING 100, SUITE 100
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City | WATKINSVILLE
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State | GA
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Zip | 30677
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Country | US
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Telephone | 706-552-1720
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Fax | 706-552-1721
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Provider Business Mailing Address
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Address Line | PO BOX 162763
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City | ATLANTA
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State | GA
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Zip | 30321-2763
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Country | US
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Telephone | 706-552-1720
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Fax | 706-552-1721
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Authorized Official
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Title or Position | DIR OUTPATIENT PHCY, AO
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Name | HUGH LYNCH
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Credential | RPH
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Telephone | 706-475-5563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE010339
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License Number State | GA
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