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General NPI Number Information
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NPI Number | 1245349927
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Entity Type | Organization
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Legal Business Name | GARY R GROPPER MD PC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 03/08/2012
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Provider Practice Location Address
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Address Line | 2001 PEACHTREE RD NE SUITE 550
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City | ATLANTA
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State | GA
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Zip | 30309-1476
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Country | US
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Telephone | 404-350-7907
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Fax | 404-367-1970
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Provider Business Mailing Address
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Address Line | 2001 PEACHTREE RD NE SUITE 550
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City | ATLANTA
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State | GA
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Zip | 30309-1476
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Country | US
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Telephone | 404-350-7907
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Fax | 404-367-1970
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Authorized Official
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Title or Position | ACADEMIC EXEC. ASSISTANT
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Name | THERESA MARTIN
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Credential |
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Telephone | 678-904-7158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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