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General NPI Number Information
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NPI Number | 1770881567
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Entity Type | Organization
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Legal Business Name | AUGUSTA HOSPITAL LLC
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Dates
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Enumeration Date | 03/03/2011
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Last Update Date | 02/21/2014
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Provider Practice Location Address
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Address Line | 2260 WRIGHTSBORO RD
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City | AUGUSTA
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State | GA
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Zip | 30904-4764
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Country | US
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Telephone | 706-481-7450
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Fax | 706-481-7532
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Provider Business Mailing Address
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Address Line | 4000 MERIDIAN BLVD
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City | FRANKLIN
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State | TN
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Zip | 37067-6325
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Country | US
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Telephone | 615-628-6038
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SOPHIA L ARWOOD
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Credential |
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Telephone | 615-628-6038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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