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General NPI Number Information
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NPI Number | 1598052706
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH CENTER, INC.
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Dates
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Enumeration Date | 07/08/2011
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Last Update Date | 06/30/2015
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Provider Practice Location Address
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Address Line | 4485 N TOWN SQ SUITE 108
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-2242
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Country | US
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Telephone | 678-398-6548
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 340
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-0340
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Country | US
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Telephone | 678-398-6548
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Fax |
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Authorized Official
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Title or Position | CHAIRMEN OF THE BOARD
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Name | MR. DAVID G ATEN
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Credential |
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Telephone | 678-398-6548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 126800000X
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Taxonomy Name | Dental Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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