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General NPI Number Information
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NPI Number | 1659639789
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Entity Type | Organization
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Legal Business Name | GEORGIA HEALTH SCIENCES UNIVERSITY
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Dates
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Enumeration Date | 04/26/2012
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Last Update Date | 04/26/2012
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Provider Practice Location Address
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Address Line | 282 STONINGTON DR
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City | MARTINEZ
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State | GA
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Zip | 30907-1806
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Country | US
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Telephone | 414-736-5919
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Fax |
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Provider Business Mailing Address
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Address Line | 282 STONINGTON DR
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City | MARTINEZ
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State | GA
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Zip | 30907-1806
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Country | US
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Telephone | 414-736-5919
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Fax |
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Authorized Official
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Title or Position | RESIDENT-PATHOLOGY
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Name | DR. GITIKA AGGARWAL
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Credential | MD
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Telephone | 41417365919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 281P00000X
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Taxonomy Name | Chronic Disease Hospital
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License Number |
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License Number State |
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