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General NPI Number Information
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NPI Number | 1245284041
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Entity Type | Individual
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Provider Name | MAGDY ATTIA D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 05/21/2013
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Provider Practice Location Address
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Address Line | 30 WARREN ST
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City | ATLANTA
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State | GA
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Zip | 30317
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Country | US
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Telephone | 404-370-7360
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Fax | 404-370-7379
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Provider Business Mailing Address
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Address Line | 720 WEST LANIER AVENUE
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City | FAYETTEVILLE
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State | GA
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Zip | 30214
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Country | US
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Telephone | 770-461-7700
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Fax | 770-461-7750
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN012425
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License Number State | GA
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