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General NPI Number Information
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NPI Number | 1932228160
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Entity Type | Organization
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Legal Business Name | ATLANTA FAMILY PRACTICE CLINIC ASSOCIATION
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 506 W MAIN ST
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City | ATLANTA
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State | TX
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Zip | 75551-2527
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Country | US
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Telephone | 903-796-4133
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Fax | 903-796-5001
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Provider Business Mailing Address
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Address Line | PO BOX 1228
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City | ATLANTA
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State | TX
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Zip | 75551-1228
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Country | US
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Telephone | 903-796-4133
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Fax | 903-796-5001
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES W MORRIS SR.
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Credential | M.D.
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Telephone | 903-796-4133
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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 | F2812
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License Number State | TX
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