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General NPI Number Information
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NPI Number | 1023177854
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Entity Type | Individual
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Provider Name | BRUCE COLLIER TIERNEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1712 CARRINGTON POINTE
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City | TUCKER
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State | GA
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Zip | 30084-7342
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Country | US
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Telephone | 404-464-0391
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Fax |
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Provider Business Mailing Address
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Address Line | 1712 CARRINGTON POINTE
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City | TUCKER
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State | GA
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Zip | 30084-7342
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Country | US
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Telephone | 770-938-4277
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Fax | 770-938-4277
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 030230
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License Number State | GA
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