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General NPI Number Information
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NPI Number | 1982768172
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Entity Type | Organization
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Legal Business Name | UNIHEALTH SOLUTIONS OF NORTHWEST GEORGIA, INC.
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 39 THREE RIVERS DR NE
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City | ROME
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State | GA
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Zip | 30161-4998
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Country | US
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Telephone | 706-236-4705
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Fax |
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Provider Business Mailing Address
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Address Line | 39 THREE RIVERS DR NE
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City | ROME
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State | GA
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Zip | 30161-4998
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Country | US
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Telephone | 706-236-4705
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Fax |
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Authorized Official
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Title or Position | CHAIRMAN AND CEO
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Name | NEIL L. PRUITT JR.
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Credential |
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Telephone | 770-925-1143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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