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General NPI Number Information
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NPI Number | 1679948194
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Entity Type | Organization
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Legal Business Name | SUBSTANCE ABUSE TESTING OF SAVANNAH
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Dates
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Enumeration Date | 12/09/2015
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Last Update Date | 12/11/2015
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Provider Practice Location Address
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Address Line | 1481 DEAN FOREST RD BLDG 200 STE C
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City | SAVANNAH
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State | GA
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Zip | 31405-9342
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Country | US
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Telephone | 912-964-1531
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Fax | 912-964-1522
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Provider Business Mailing Address
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Address Line | 1481 DEAN FOREST RD BLDG 200 STE C
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City | SAVANNAH
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State | GA
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Zip | 31405-9342
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Country | US
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Telephone | 912-964-1531
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Fax | 912-964-1522
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Authorized Official
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Title or Position | CEO
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Name | VIOLETA E HICKS
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Credential |
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Telephone | 912-964-1531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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