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General NPI Number Information
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NPI Number | 1699177428
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Entity Type | Organization
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Legal Business Name | KENNESTONE HOSPITAL INC
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Dates
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Enumeration Date | 09/24/2014
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 3747 ROSWELL RD
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City | MARIETTA
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State | GA
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Zip | 30062-6215
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Country | US
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Telephone | 470-956-0170
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Fax | 678-560-5948
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Provider Business Mailing Address
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Address Line | PO BOX 743081
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City | ATLANTA
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State | GA
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Zip | 30374-3081
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Country | US
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Telephone | 470-956-0170
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Fax | 678-560-5948
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Authorized Official
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Title or Position | VICE PRESIDENT OF PHARMACY
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Name | SNEHAL DOSHI
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Credential |
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Telephone | 470-644-0392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE010072
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License Number State | GA
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