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General NPI Number Information
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NPI Number | 1972746832
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Entity Type | Organization
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Legal Business Name | THYSSENKRUPP ACCESS CORPORATION
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Dates
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Enumeration Date | 04/08/2009
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Last Update Date | 04/08/2009
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Provider Practice Location Address
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Address Line | 2197 CANTON RD 105
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City | MARIETTA
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State | GA
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Zip | 30066-7303
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Country | US
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Telephone | 678-581-0551
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Fax | 678-581-0249
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Provider Business Mailing Address
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Address Line | 2197 CANTON ROAD 105
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City | MARIETTA
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State | GA
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Zip | 30066-7303
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Country | US
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Telephone | 678-581-0551
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Fax | 678-581-0249
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Authorized Official
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Title or Position | PROJECT MANAGER
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Name | MRS. MINDY SUE GARTHE
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Credential |
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Telephone | 678-581-0551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 2008-104933
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License Number State | GA
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