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General NPI Number Information
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NPI Number | 1164676623
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Entity Type | Individual
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Provider Name | HERBERT H KOLLINGER D. O.
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Gender | Male
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Dates
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Enumeration Date | 11/11/2008
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Last Update Date | 11/11/2008
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Provider Practice Location Address
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Address Line | 3440 PRESTON RIDGE RD SUITE 450
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City | ALPHARETTA
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State | GA
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Zip | 30005-3817
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Country | US
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Telephone | 678-954-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 2475 NORTHWINDS PKWY SUITE 175
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City | ALPHARETTA
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State | GA
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Zip | 30009-4807
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Country | US
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Telephone | 678-954-5300
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Fax | 678-297-2954
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 027589
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License Number State | GA
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