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General NPI Number Information
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NPI Number | 1043848047
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Entity Type | Individual
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Provider Name | JESAN ZAMAN MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2020
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 101 WOODRUFF CIRCLE WMB 3300
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City | ATLANTA
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State | GA
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Zip | 30322-0001
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Country | US
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Telephone | 404-727-6367
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Fax |
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Provider Business Mailing Address
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Address Line | 1624 BRIARCLIFF RD NE APT 1
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City | ATLANTA
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State | GA
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Zip | 30306-2110
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Country | US
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Telephone | 646-577-4586
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Fax |
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | L.5335
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | L.5335
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L.5335
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License Number State | AL
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