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General NPI Number Information
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NPI Number | 1679287650
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Entity Type | Organization
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Legal Business Name | GEORGIA OBSERVATION AND TELEHEALTH SERVICES, LLC
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Dates
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Enumeration Date | 01/13/2023
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 743 SPRING ST NE
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City | GAINESVILLE
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State | GA
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Zip | 30501-3715
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Country | US
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Telephone | 770-536-2146
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Fax |
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Provider Business Mailing Address
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Address Line | 821 DAWSONVILLE HWY STE 250 #328
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City | GAINESVILLE
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State | GA
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Zip | 30501-2622
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Country | US
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Telephone | 404-558-4127
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Fax |
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | MR. ROBERT WILLIAM TURNER
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Credential |
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Telephone | 404-558-4127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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