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General NPI Number Information
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NPI Number | 1871771923
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Entity Type | Organization
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Legal Business Name | EMORY UNIVERSITY HOSPITAL
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 1364 CLIFTON RD NE H120 EMORY HOSPITAL
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City | ATLANTA
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State | GA
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Zip | 30322-1064
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Country | US
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Telephone | 404-727-0093
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Fax |
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Provider Business Mailing Address
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Address Line | EMORY GENERAL SURGERY 1364 CLIFTON ROAD NE
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City | ATLANTA
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State | GA
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Zip | 30322-0001
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Country | US
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Telephone | 404-727-0093
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Fax |
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Authorized Official
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Title or Position | RESIDENT
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Name | DR. MILLARD ANDREW DAVIS
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Credential | M.D.
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Telephone | 404-444-8886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 002158
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License Number State | GA
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