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General NPI Number Information
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NPI Number | 1871031625
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Entity Type | Organization
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Legal Business Name | GWINNNETT HOSPITAL SYSTEM, INC.
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Dates
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Enumeration Date | 02/01/2017
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Last Update Date | 02/01/2017
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Provider Practice Location Address
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Address Line | 665 DULUTH HWY SUITE 501
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-8709
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Country | US
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Telephone | 678-312-0470
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1190
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-1190
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Country | US
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Telephone | 678-312-0470
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Fax |
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Authorized Official
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Title or Position | VP FINANCE
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Name | MR. SCOTT E. OREM
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Credential |
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Telephone | 678-312-5633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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