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General NPI Number Information
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NPI Number | 1285704429
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Entity Type | Individual
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Provider Name | DON WILLIAM PENNEY MD
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Gender | Male
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 07/21/2010
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Provider Practice Location Address
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Address Line | 753 OLD NORCROSS RD STE A
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-4312
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Country | US
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Telephone | 770-995-5333
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Fax | 770-682-5322
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Provider Business Mailing Address
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Address Line | 753 OLD NORCROSS RD STE A
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-4312
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Country | US
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Telephone | 770-995-5333
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Fax | 770-682-5322
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 037331
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 042-0009379
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 036-079341
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License Number State | IL
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