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General NPI Number Information
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NPI Number | 1215981873
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Entity Type | Organization
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Legal Business Name | ATLANTA ONCOLOGY ASSOCIATES, PC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1000 JOHNSON FERRY RD NE
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City | ATLANTA
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State | GA
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Zip | 30342-1606
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Country | US
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Telephone | 770-270-5085
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Fax | 770-270-5803
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Provider Business Mailing Address
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Address Line | 1475 MONTREAL RD
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City | TUCKER
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State | GA
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Zip | 30084-6922
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Country | US
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Telephone | 770-270-5085
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Fax | 770-270-5803
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Authorized Official
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Title or Position | CEO
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Name | DALE LYNN MCCORD
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Credential | MD
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Telephone | 770-270-5085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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