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General NPI Number Information
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NPI Number | 1093794117
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Entity Type | Individual
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Provider Name | EMILY M ALTMAN MD
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Gender | Female
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 08/11/2024
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Provider Practice Location Address
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Address Line | 1525 CLIFTON RD. NE 1ST FLOOR, SUITE 105
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City | ATLANTA
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State | GA
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Zip | 30322
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Country | US
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Telephone | 616-717-3082
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Fax |
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Provider Business Mailing Address
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Address Line | 1525 CLIFTON RD NE STE 1051
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City | ATLANTA
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State | GA
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Zip | 30322-4200
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Country | US
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Telephone | 616-717-3082
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Fax | 505-272-6228
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD2017-0772
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 25MA06877100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 101139
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License Number State | GA
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