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General NPI Number Information
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NPI Number | 1225179740
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Entity Type | Organization
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Legal Business Name | AUDIOLOGICAL CONSULTANTS OF ATL.-BUCKHEAD, INC
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 606 S 8TH ST
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City | GRIFFIN
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State | GA
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Zip | 30224-4214
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Country | US
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Telephone | 770-229-6666
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Fax |
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Provider Business Mailing Address
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Address Line | 2140 PEACHTREE RD NW SUITE 350
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City | ATLANTA
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State | GA
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Zip | 30309-1314
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Country | US
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Telephone | 404-351-4114
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Fax | 404-351-4223
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Authorized Official
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Title or Position | CO-DIRECTOR
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Name | DR. KADYN WILLIAMS
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Credential | AU.D.
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Telephone | 404-351-4114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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