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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student Health |
261QS1000X |
| NPI Number | 1396873527 |
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| LBN Legal business name | GEORGIA INSTITUTE OF TECHNOLOGY | ||||
| Authorized official | GREGORY MOORE - (SENIOR DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/01/2007 | ||||
| Last updated | 07/15/2014 - About 12 years ago | ||||
| Identifiers |
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GEORGIA INSTITUTE OF TECHNOLOGY