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General NPI Number Information
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NPI Number | 1548219710
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Entity Type | Organization
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Legal Business Name | GEORGIA HEALTH CENTER P.C.
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 4178 HIGHBRIDGE RD
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City | GEORGIA
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State | VT
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Zip | 05454-5446
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Country | US
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Telephone | 802-524-9595
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Fax |
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Provider Business Mailing Address
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Address Line | 4178 HIGHBRIDGE RD
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City | FAIRFAX
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State | VT
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Zip | 05454-5446
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Country | US
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Telephone | 802-524-9595
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. SUSAN L. SAFERSTEIN
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Credential | M.D.
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Telephone | 802-524-9595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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