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General NPI Number Information
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NPI Number | 1821462136
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Entity Type | Organization
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Legal Business Name | ST FRANCIS AFFILIATED SERVICES LLC
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Dates
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Enumeration Date | 11/24/2015
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Last Update Date | 12/10/2015
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Provider Practice Location Address
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Address Line | 3465 MACON RD STE. D
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City | COLUMBUS
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State | GA
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Zip | 31907-2581
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Country | US
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Telephone | 706-243-3051
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Fax | 706-243-2027
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Provider Business Mailing Address
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Address Line | 3465 MACON RD STE. D
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City | COLUMBUS
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State | GA
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Zip | 31907-2581
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Country | US
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Telephone | 706-243-3051
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Fax | 706-243-2027
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Authorized Official
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Title or Position | PRESIDENT
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Name | JESS JUDY
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Credential |
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Telephone | 615-920-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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