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General NPI Number Information
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NPI Number | 1013215938
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Entity Type | Organization
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Legal Business Name | GEORGIA CANCER SPECIALISTS I, PC
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Dates
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Enumeration Date | 03/01/2011
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 3886 PRINCETON LAKES WAY SW SUITE 200
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City | ATLANTA
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State | GA
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Zip | 30331-5511
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Country | US
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Telephone | 404-349-7300
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Fax | 404-349-7344
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Provider Business Mailing Address
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Address Line | 1835 SAVOY DR SUITE 300
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City | ATLANTA
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State | GA
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Zip | 30341-1072
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Country | US
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Telephone | 770-495-3396
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Fax | 770-495-2307
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Authorized Official
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Title or Position | COO
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Name | DR. WENDY H. LENZ
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Credential | MD
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Telephone | 770-496-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State | GA
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