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General NPI Number Information
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NPI Number | 1861812448
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Entity Type | Organization
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Legal Business Name | EMORY JOHNS CREEK HOSPITAL
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 04/22/2014
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Provider Practice Location Address
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Address Line | 6325 HOSPITAL PKWY
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City | DULUTH
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State | GA
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Zip | 30097-5775
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Country | US
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Telephone | 678-474-7822
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Fax | 678-474-7522
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Provider Business Mailing Address
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Address Line | 6325 HOSPITAL PKWY
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City | DULUTH
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State | GA
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Zip | 30097-5775
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PATHOLOGIST
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Name | KEVIN HARRELL
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Credential | M.D.
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Telephone | 678-474-7822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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