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General NPI Number Information
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NPI Number | 1861978793
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Entity Type | Organization
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Legal Business Name | UHS OF PEACHFORD LP
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Dates
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Enumeration Date | 07/13/2018
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Last Update Date | 12/27/2018
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Provider Practice Location Address
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Address Line | 2150 PEACHFORD RD STE D
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City | ATLANTA
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State | GA
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Zip | 30338
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Country | US
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Telephone | 770-559-7489
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Fax | 770-680-4747
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Provider Business Mailing Address
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Address Line | 2151 PEACHFORD RD
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City | ATLANTA
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State | GA
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Zip | 30338-6534
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Country | US
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Telephone | 770-559-7489
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Fax | 770-680-4747
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Authorized Official
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Title or Position | SR VP CFO
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Name | STEVE FILTON
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Credential |
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Telephone | 610-768-3482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE010642
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License Number State |
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