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General NPI Number Information
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NPI Number | 1013678846
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Entity Type | Organization
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Legal Business Name | DENTISTRY AT SANDY SPRINGS PC
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Dates
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Enumeration Date | 01/04/2022
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 185 ALLEN RD
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-4836
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Country | US
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Telephone | 404-255-6782
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Fax |
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Provider Business Mailing Address
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Address Line | 185 ALLEN RD
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-4836
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW TRALONGO
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Credential |
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Telephone | 516-662-5716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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