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General NPI Number Information
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NPI Number | 1669750071
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Entity Type | Organization
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Legal Business Name | ATLANTA MEDICAL CENTER
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Dates
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Enumeration Date | 08/02/2011
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Last Update Date | 08/02/2011
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Provider Practice Location Address
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Address Line | 303 PARKWAY DR NE ATL MED CNTR-GME DEPT. I.M.
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City | ATLANTA
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State | GA
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Zip | 30312-1212
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Country | US
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Telephone | 404-265-4919
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Fax |
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Provider Business Mailing Address
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Address Line | 180 JACKSON ST NE APT 6205
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City | ATLANTA
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State | GA
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Zip | 30312-7940
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Country | US
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Telephone | 571-332-7440
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Fax |
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Authorized Official
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Title or Position | RESIDENCY COORDINATOR
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Name | MRS. SHEILA M LAWSHEA
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Credential |
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Telephone | 404-265-4919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 4767
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License Number State | GA
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