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General NPI Number Information
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NPI Number | 1255328720
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Entity Type | Individual
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Provider Name | CAROLINE M ABRUZESE MD
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Gender | Female
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Dates
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Enumeration Date | 09/30/2005
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Last Update Date | 07/15/2024
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Provider Practice Location Address
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Address Line | 6115 PEACHTREE DUNWOODY RD STE 200
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City | ATLANTA
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State | GA
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Zip | 30328-5684
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Country | US
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Telephone | 404-843-3636
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Fax | 404-891-7164
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Provider Business Mailing Address
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Address Line | 6115 PEACHTREE DUNWOODY RD STE 200
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-5684
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Country | US
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Telephone | 404-843-3636
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Fax | 404-891-7164
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 043518
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License Number State | GA
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