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General NPI Number Information
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NPI Number | 1952562191
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Entity Type | Organization
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Legal Business Name | GA PAIN AND BEHAVIORAL MEDICINE INC.
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Dates
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Enumeration Date | 06/20/2008
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 247 LANA DR
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City | GRAY
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State | GA
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Zip | 31032-5883
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Country | US
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Telephone | 478-986-0484
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Fax | 478-986-0486
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Provider Business Mailing Address
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Address Line | 247 LANA DR P. O. BOX 1726
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City | GRAY
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State | GA
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Zip | 31032-5883
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Country | US
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Telephone | 478-986-0484
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Fax | 478-986-0486
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS H SACHY
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Credential | M.D., M.SC., P.C.
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Telephone | 478-986-0484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | GA-043120
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License Number State | GA
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