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General NPI Number Information
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NPI Number | 1215486469
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Entity Type | Organization
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Legal Business Name | TODD D CABLE M.D., LLC
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Dates
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Enumeration Date | 09/29/2016
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Last Update Date | 09/30/2016
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Provider Practice Location Address
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Address Line | 588 LINKS LN
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City | MARTINEZ
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State | GA
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Zip | 30907-8958
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Country | US
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Telephone | 706-231-7131
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Fax |
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Provider Business Mailing Address
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Address Line | 588 LINKS LN
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City | MARTINEZ
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State | GA
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Zip | 30907-8958
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Country | US
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Telephone | 706-231-7131
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TODD D CABLE
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Credential | M D
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Telephone | 706-231-7131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 046740
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License Number State | GA
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