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General NPI Number Information
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NPI Number | 1154759975
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Entity Type | Organization
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Legal Business Name | ENDOCURE CORPORATION
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Dates
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Enumeration Date | 10/15/2013
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Last Update Date | 11/07/2013
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Provider Practice Location Address
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Address Line | 1567 JANMAR RD SUITE 100
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City | SNELLVILLE
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State | GA
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Zip | 30078-5769
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Country | US
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Telephone | 770-545-8435
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Fax | 770-545-8436
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Provider Business Mailing Address
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Address Line | 1567 JANMAR RD SUITE 100
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City | SNELLVILLE
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State | GA
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Zip | 30078-5769
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Country | US
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Telephone | 770-545-8435
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Fax | 770-545-8436
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAYED MOHD AAMIR
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Credential | M.D.
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Telephone | 770-545-8435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 67192
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License Number State | GA
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