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General NPI Number Information
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NPI Number | 1538468624
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Entity Type | Organization
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Legal Business Name | STATMEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 03/15/2011
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 2 BRADLEY PARK CT
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City | COLUMBUS
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State | GA
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Zip | 31904-9238
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Country | US
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Telephone | 706-322-7776
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Fax | 706-322-7776
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Provider Business Mailing Address
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Address Line | 2 BRADLEY PARK CT
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City | COLUMBUS
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State | GA
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Zip | 31904-9238
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Country | US
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Telephone | 706-322-7776
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Fax | 706-322-7485
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Authorized Official
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Title or Position | CFO
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Name | MS. KAREN LEE SHAUL
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Credential | R.N.
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Telephone | 706-322-7776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | RN144883
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License Number State | GA
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