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NPI 1326007642

NPI 1326007642 : EDITH ANN PILZER MD : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1326007642
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    Entity Type          |    Individual 
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    Provider Name        |    EDITH ANN PILZER MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/23/2006
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    Last Update Date     |    02/28/2012
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Provider Practice Location Address
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    Address Line         |    993-D JOHNSON FERRY ROAD SUITE 440
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30342
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    Country              |    US
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    Telephone            |    404-257-0799
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    Fax                  |    404-503-2280
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Provider Business Mailing Address
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    Address Line         |    993-D JOHNSON FERRY ROAD SUITE 440
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30342
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    Country              |    US
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    Telephone            |    404-257-0799
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    Fax                  |    404-503-2280
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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        |    2080P0206X
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    Taxonomy Name        |    Pediatric Gastroenterology Physician
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    License Number       |    025019
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    License Number State |    GA
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