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General NPI Number Information
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NPI Number | 1023298981
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Entity Type | Organization
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Legal Business Name | FRANKLIN D. DIAZ, MD, PC
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 11/26/2007
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Provider Practice Location Address
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Address Line | 601 A PROFESSIONAL DRIVE, SUITE 200
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-3004
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Country | US
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Telephone | 770-513-8028
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Fax | 770-513-8653
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Provider Business Mailing Address
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Address Line | 601 A PROFESSIONAL DRIVE, SUITE 200
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-3004
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Country | US
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Telephone | 770-513-8028
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Fax | 770-513-8653
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANKLIN D DIAZ
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Credential | M.D.
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Telephone | 770-513-8028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 032374
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License Number State | GA
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