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General NPI Number Information
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NPI Number | 1083774764
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Entity Type | Individual
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Provider Name | RAND A CONFER M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 08/03/2016
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Provider Practice Location Address
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Address Line | 1014 AUGUSTA RD SUITE 1
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City | THOMSON
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State | GA
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Zip | 30824-8498
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Country | US
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Telephone | 706-595-4674
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Fax | 706-595-0088
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Provider Business Mailing Address
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Address Line | PO BOX 932203
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City | ATLANTA
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State | GA
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Zip | 31193-2203
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Country | US
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Telephone | 706-256-3450
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Fax | 706-256-3454
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 41535
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 41535
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License Number State | GA
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