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General NPI Number Information
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NPI Number | 1841694155
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Entity Type | Organization
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Legal Business Name | GEORGIA SCHOOL CLINICS LLC
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Dates
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Enumeration Date | 10/15/2014
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Last Update Date | 10/15/2014
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Provider Practice Location Address
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Address Line | 7090 GLENRIDGE DR
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-2629
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Country | US
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Telephone | 678-675-3533
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Fax |
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Provider Business Mailing Address
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Address Line | 7090 GLENRIDGE DR
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-2629
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Country | US
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Telephone | 678-675-3533
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROBERT E. LAYNE
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Credential |
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Telephone | 678-675-3533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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