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General NPI Number Information
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NPI Number | 1710157045
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Entity Type | Organization
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Legal Business Name | GENTLE TOUCH, INC
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Dates
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Enumeration Date | 03/03/2008
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 5154 COOK ST NE
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City | COVINGTON
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State | GA
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Zip | 30014-2630
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Country | US
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Telephone | 770-788-1778
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Fax |
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Provider Business Mailing Address
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Address Line | 5154 COOK ST NE
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City | COVINGTON
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State | GA
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Zip | 30014-2630
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERIN MAYFIELD
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Credential |
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Telephone | 770-788-1778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 034417
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License Number State | GA
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