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General NPI Number Information
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NPI Number | 1144460510
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Entity Type | Organization
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Legal Business Name | PRECISION HAND AND RECONSTRUCTIVE SURGERY
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Dates
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Enumeration Date | 02/25/2009
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Last Update Date | 02/25/2009
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Provider Practice Location Address
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Address Line | 2801 N DECATUR RD SUITE 395
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City | DECATUR
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State | GA
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Zip | 30033-5949
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Country | US
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Telephone | 678-789-9240
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Fax | 770-491-8917
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Provider Business Mailing Address
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Address Line | PO BOX 11546
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City | ATLANTA
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State | GA
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Zip | 30355-1546
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Country | US
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Telephone | 678-789-9240
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Fax | 770-491-8917
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Authorized Official
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Title or Position | OWNER
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Name | DR. CYRIL FRANKLYN HALBERT
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Credential |
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Telephone | 678-789-9240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | 042593
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 042593
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License Number State | GA
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