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General NPI Number Information
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NPI Number | 1164828976
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Entity Type | Organization
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Legal Business Name | ATLANTA PAIN AND WELLNESS CENTER PC
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Dates
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Enumeration Date | 11/06/2014
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Last Update Date | 11/06/2014
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Provider Practice Location Address
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Address Line | 1287 GA HWY 138 SPUR STE 8
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City | JONESBORO
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State | GA
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Zip | 30236-2419
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Country | US
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Telephone | 770-473-0038
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Fax |
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Provider Business Mailing Address
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Address Line | 1287 GA HWY 138 SPUR STE 8
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City | JONESBORO
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State | GA
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Zip | 30236-2419
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Country | US
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Telephone | 770-473-0038
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAJIV SOOD
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Credential | D. O.
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Telephone | 404-556-9328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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