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General NPI Number Information
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NPI Number | 1245605971
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Entity Type | Organization
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Legal Business Name | ASHISH KAPILA DPM
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Dates
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Enumeration Date | 12/07/2015
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Last Update Date | 01/07/2016
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Provider Practice Location Address
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Address Line | 3875 AUSTELL RD STE 201
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City | AUSTELL
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State | GA
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Zip | 30106-1153
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Country | US
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Telephone | 770-819-1777
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Fax |
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Provider Business Mailing Address
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Address Line | 5555 GLENRIDGE CONNECTOR STE 200
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City | ATLANTA
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State | GA
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Zip | 30342-4740
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DPM
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Name | ASHISH KAPILA
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Credential |
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Telephone | 954-261-5895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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