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General NPI Number Information
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NPI Number | 1619014156
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Entity Type | Organization
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Legal Business Name | CHILDREN'S HEALTHCARE OF ATLANTA AT HUGHES SPALDING
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 35 JESSE HILL JR DR SE
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City | ATLANTA
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State | GA
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Zip | 30303-3032
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Country | US
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Telephone | 404-785-9980
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Fax |
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Provider Business Mailing Address
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Address Line | 1584 TULLIE CIR NE
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City | ATLANTA
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State | GA
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Zip | 30329-2311
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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 | VICE PRESIDENT, MANAGED CARE
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Name | TOBY THOMAS
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Credential |
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Telephone | 404-785-7914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | 060-514
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License Number State | GA
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