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General NPI Number Information
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NPI Number | 1265785745
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Entity Type | Organization
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Legal Business Name | BETTER MEDICAL CARE OF ATLANTA LLC
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Dates
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Enumeration Date | 10/20/2012
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Last Update Date | 10/26/2013
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Provider Practice Location Address
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Address Line | 11 DUNWOODY PARK SUITE 140
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City | DUNWOODY
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State | GA
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Zip | 30338-7408
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Country | US
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Telephone | 470-246-5942
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Fax | 678-490-2352
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Provider Business Mailing Address
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Address Line | 11 DUNWOODY PARK SUITE 140
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City | DUNWOODY
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State | GA
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Zip | 30338-7408
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Country | US
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Telephone | 470-246-5942
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Fax | 678-490-2352
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Authorized Official
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Title or Position | OWNER
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Name | BONNIE P ELLENOFF
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Credential | DO
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Telephone | 470-246-5942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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