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General NPI Number Information
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NPI Number | 1790939726
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Entity Type | Organization
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Legal Business Name | TENET HEALTH
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Dates
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Enumeration Date | 11/04/2008
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 1000 CORPORATE CENTER DR SUITE 200
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City | MORROW
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State | GA
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Zip | 30260-4180
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Country | US
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Telephone | 770-978-6464
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Fax |
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Provider Business Mailing Address
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Address Line | 2479 PEACHTREE RD NE UNIT 716
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City | ATLANTA
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State | GA
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Zip | 30305-4121
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Country | US
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Telephone | 609-505-9275
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | DR. FRANK DON DIEGO
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Credential |
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Telephone | 770-968-6464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 001800
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License Number State | GA
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