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General NPI Number Information
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NPI Number | 1972964641
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Entity Type | Organization
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Legal Business Name | ATLANTA MOBILE PULMONARY REHAB INC.
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Dates
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Enumeration Date | 03/09/2016
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 30316 LINKS DR. 30316
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City | ATLANTA
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State | GA
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Zip | 30317-3232
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Country | US
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Telephone | 404-491-5042
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Fax | 470-428-4971
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Provider Business Mailing Address
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Address Line | 30316 LINKS DR 30316
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City | ATLANTA
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State | GA
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Zip | 30317-3232
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Country | US
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Telephone | 404-491-5042
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Fax | 470-428-4971
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Authorized Official
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Title or Position | RESPIRATORY THERAPIST
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Name | ANTHONY COOPER
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Credential | RRT
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Telephone | 404-491-5042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | GA
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