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General NPI Number Information
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NPI Number | 1336327220
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Entity Type | Individual
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Provider Name | DRUENELL ELIA LINTON MD
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Gender | Female
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Dates
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Enumeration Date | 02/04/2008
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Last Update Date | 11/06/2015
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Provider Practice Location Address
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Address Line | 3825 MEDICAL PARK DR SUITE 301
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City | AUSTELL
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State | GA
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Zip | 30106-6831
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Country | US
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Telephone | 770-941-7741
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Fax | 770-941-7196
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Provider Business Mailing Address
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Address Line | 3825 MEDICAL PARK DR SUITE 301
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City | AUSTELL
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State | GA
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Zip | 30106-6831
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Country | US
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Telephone | 770-941-7741
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Fax | 770-941-7196
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 58271
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 058271
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License Number State | GA
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