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General NPI Number Information
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NPI Number | 1073584603
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Entity Type | Individual
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Provider Name | BARBARA E BOLING M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 105 PROFESSIONAL PARK DR
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City | CUMMING
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State | GA
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Zip | 30040-2381
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Country | US
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Telephone | 770-887-9369
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Fax | 770-887-1907
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Provider Business Mailing Address
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Address Line | 2245 MOUNTAIN LAUREL DR
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City | CUMMING
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State | GA
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Zip | 30040-2963
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Country | US
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Telephone | 770-889-4791
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Fax | 770-887-1907
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 023567
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License Number State | GA
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