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General NPI Number Information
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NPI Number | 1609158963
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Entity Type | Organization
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Legal Business Name | CENTERS FOR DISEASE CONTROL AND PREVENTION, US PUBLIC HEALTH SERVICE
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Dates
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Enumeration Date | 09/13/2011
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Last Update Date | 09/13/2011
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Provider Practice Location Address
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Address Line | 1600 CLIFTON RD, MS E46
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City | ATLANTA
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State | GA
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Zip | 30306
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Country | US
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Telephone | 404-639-6347
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Fax |
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Provider Business Mailing Address
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Address Line | 1583 ANITA PL NE
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City | ATLANTA
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State | GA
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Zip | 30306-2262
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DEPUTY CHIEF, BCSB/DHAP/NCHHSTP
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Name | DAWN GNESDA
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Credential |
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Telephone | 404-639-5195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 38732
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License Number State | GA
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