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General NPI Number Information
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NPI Number | 1518935337
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Entity Type | Organization
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Legal Business Name | HMP DIAGNOSTICS, LLC
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 205 CLEVELAND RD SUITE B
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City | BOGART
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State | GA
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Zip | 30622-6821
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Country | US
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Telephone | 706-546-7430
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Fax | 706-546-7434
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Provider Business Mailing Address
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Address Line | PO BOX 49769
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City | ATHENS
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State | GA
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Zip | 30604-0769
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Country | US
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Telephone | 706-546-7430
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Fax | 706-546-7434
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MR. ERIC PARKHILL
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Credential | RRT
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Telephone | 706-546-7430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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