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General NPI Number Information
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NPI Number | 1306357470
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Entity Type | Organization
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Legal Business Name | AMERICAN CARDIOVASCULAR CENTERS, P.C.
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Dates
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Enumeration Date | 10/17/2017
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 6105 PEACHTREE DUNWOODY RD STE A150
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City | ATLANTA
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State | GA
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Zip | 30328
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Country | US
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Telephone | 404-996-6596
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Fax |
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Provider Business Mailing Address
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Address Line | 6105 PEACHTREE DUNWOODY RD STE A150
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City | ATLANTA
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State | GA
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Zip | 30328-5944
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Country | US
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Telephone | 404-996-6596
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | REBECCA SMITH
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Credential |
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Telephone | 813-416-6438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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