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General NPI Number Information
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NPI Number | 1578250304
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Entity Type | Organization
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Legal Business Name | RESTOR METABOLIX OF SAVANNAH
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Dates
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Enumeration Date | 04/21/2023
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Last Update Date | 04/21/2023
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Provider Practice Location Address
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Address Line | 1000 TOWNE CENTER BLVD STE 602
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City | POOLER
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State | GA
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Zip | 31322-4071
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Country | US
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Telephone | 912-228-3502
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 TOWNE CENTER BLVD STE 602
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City | POOLER
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State | GA
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Zip | 31322-4071
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Country | US
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Telephone | 912-228-3502
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Fax |
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Authorized Official
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Title or Position | REVENUE CYCLE DIRECTOR
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Name | PAMELA MELISSA HOOD
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Credential |
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Telephone | 912-590-2184
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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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