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General NPI Number Information
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NPI Number | 1861632382
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Entity Type | Organization
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Legal Business Name | EXPRESSHEALTH INC.
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Dates
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Enumeration Date | 02/24/2009
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Last Update Date | 11/19/2011
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Provider Practice Location Address
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Address Line | 1220 GEORGE C. WILSON DRIVE SUITE A
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City | AUGUSTA
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State | GA
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Zip | 30909-3471
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Country | US
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Telephone | 706-364-3292
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 GEORGE C. WILSON DRIVE SUITE A
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City | AUGUSTA
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State | GA
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Zip | 30909-1821
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Country | US
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Telephone | 706-364-3286
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Fax | 706-364-3285
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Authorized Official
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Title or Position | FOUNDER
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Name | MR. PHIL MCELHANEY
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Credential |
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Telephone | 706-364-3286
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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 |
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License Number State |
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