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General NPI Number Information
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NPI Number | 1194135459
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Entity Type | Organization
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Legal Business Name | SAUNDRA ANN MAASS-ROBINSON M D
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Dates
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Enumeration Date | 05/07/2014
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Last Update Date | 05/07/2014
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Provider Practice Location Address
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Address Line | 1440 DUTCH VALLEY PL NE SUITE 985
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City | ATLANTA
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State | GA
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Zip | 30324-5366
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Country | US
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Telephone | 404-817-8171
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Fax | 404-817-8174
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Provider Business Mailing Address
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Address Line | 1440 DUTCH VALLEY PL NE SUITE 985
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City | ATLANTA
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State | GA
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Zip | 30324-5366
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Country | US
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Telephone | 404-817-8171
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Fax | 404-817-8174
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | ZAHRA MAS
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Credential |
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Telephone | 404-817-8171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 024621
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License Number State | GA
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