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General NPI Number Information
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NPI Number | 1790083335
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Entity Type | Organization
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Legal Business Name | WASHINGTON DEVELOPMENT GROUP, LLC
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Dates
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Enumeration Date | 03/07/2011
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Last Update Date | 03/07/2011
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Provider Practice Location Address
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Address Line | 912 HIGHLAND AVE
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City | SELMA
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State | AL
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Zip | 36701-4927
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Country | US
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Telephone | 334-875-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 2975 METROPOLITAN PKWY SW
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City | ATLANTA
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State | GA
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Zip | 30315-7917
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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 | VICE PRESIDENT
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Name | PATRICK BRIGHTWELL
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Credential |
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Telephone | 678-904-6625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 1015
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License Number State | AL
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