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General NPI Number Information
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NPI Number | 1679502959
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Entity Type | Organization
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Legal Business Name | WARE COUNTY BOARD OF HEALTH
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 1720 OLD REYNOLDS ST
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City | WAYCROSS
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State | GA
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Zip | 31501-1036
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Country | US
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Telephone | 912-285-6301
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Fax | 912-287-6713
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Provider Business Mailing Address
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Address Line | 1720 OLD REYNOLDS ST
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City | WAYCROSS
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State | GA
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Zip | 31501-1036
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Country | US
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Telephone | 912-285-6301
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Fax | 912-287-6713
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Authorized Official
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Title or Position | PSO
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Name | STARLA SUTTON
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Credential |
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Telephone | 912-338-5263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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