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General NPI Number Information
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NPI Number | 1689684862
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Entity Type | Organization
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Legal Business Name | COUNTY OF JASPER HEALTH DEPARTMENT
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 825 EATONTON ST
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City | MONTICELLO
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State | GA
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Zip | 31064-1062
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Country | US
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Telephone | 706-468-6850
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Fax | 706-468-1422
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Provider Business Mailing Address
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Address Line | 201 2ND ST STE 1100
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City | MACON
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State | GA
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Zip | 31201-6328
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Country | US
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Telephone | 478-297-5190
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Fax | 478-751-6099
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DANIELLE MCNAIR
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Credential |
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Telephone | 478-751-6303
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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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