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General NPI Number Information
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NPI Number | 1851558811
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Entity Type | Organization
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Legal Business Name | VALLEY VIEW MEDICAL CENTER
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 24 ALICIA LN SUITE 7
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City | DAHLONEGA
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State | GA
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Zip | 30533-1612
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Country | US
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Telephone | 706-867-6505
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Fax | 706-867-9994
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Provider Business Mailing Address
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Address Line | 24 ALICIA LN SUITE 7
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City | DAHLONEGA
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State | GA
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Zip | 30533-1612
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Country | US
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Telephone | 706-867-6505
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Fax | 706-867-9994
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Authorized Official
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Title or Position | OFFICE MANAGER CHARGE NURSE
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Name | MRS. DAWN JANINE DAVIS
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Credential | LPN
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Telephone | 706-867-6505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 037640
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License Number State | GA
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