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General NPI Number Information
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NPI Number | 1154411437
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Entity Type | Organization
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Legal Business Name | NORTH ATLANTA NEPHROLOGY LLC
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Dates
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Enumeration Date | 10/15/2006
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Last Update Date | 02/25/2020
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Provider Practice Location Address
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Address Line | 219 RIVERSTONE DR
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City | CANTON
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State | GA
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Zip | 30114-5256
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Country | US
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Telephone | 770-720-2423
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Fax | 877-430-2887
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Provider Business Mailing Address
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Address Line | PO BOX 2815
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City | BLUE RIDGE
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State | GA
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Zip | 30513-0050
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Country | US
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Telephone | 770-720-2423
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Fax | 877-430-2887
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Authorized Official
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Title or Position | M.D.
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Name | NAJAM SABREEN
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Credential | M.D.
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Telephone | 770-720-2423
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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 | 053602
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License Number State | GA
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