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General NPI Number Information
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NPI Number | 1902922669
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Entity Type | Organization
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Legal Business Name | WEST END MEDICAL CENTERS INC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 868 YORK AVE SW
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City | ATLANTA
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State | GA
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Zip | 30310-2750
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Country | US
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Telephone | 404-758-8988
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Fax | 888-331-3565
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Provider Business Mailing Address
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Address Line | 868 YORK AVE SW
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City | ATLANTA
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State | GA
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Zip | 30310-2750
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Country | US
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Telephone | 404-758-8988
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Fax | 888-331-3565
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | ERIN SEARLES
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Credential |
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Telephone | 404-758-8988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE008261
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License Number State | GA
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