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General NPI Number Information
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NPI Number | 1659674992
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Entity Type | Organization
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Legal Business Name | EMORY HEALTHCARE
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Dates
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Enumeration Date | 12/08/2010
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Last Update Date | 12/08/2010
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Provider Practice Location Address
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Address Line | 1362 CLIFTON RD NE
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City | ATLANTA
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State | GA
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Zip | 30322-1059
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Country | US
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Telephone | 404-441-1711
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Fax |
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Provider Business Mailing Address
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Address Line | 1362 CLIFTON RD NE
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City | ATLANTA
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State | GA
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Zip | 30322-1059
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Country | US
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Telephone | 404-441-1711
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Fax |
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Authorized Official
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Title or Position | TRANSPLANT NP
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Name | MS. GAIL L HARTMAN
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Credential | MSN
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Telephone | 404-441-1711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | RN098526
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License Number State | GA
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