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General NPI Number Information
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NPI Number | 1346290806
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Entity Type | Individual
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Provider Name | ALAN B. FISHMAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 5673 PEACHTREE DUNWOODY RD NE
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City | ATLANTA
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State | GA
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Zip | 30342-1770
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Country | US
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Telephone | 404-256-8500
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Fax | 404-256-8506
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Provider Business Mailing Address
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Address Line | 550 PEACHTREE STREET SUITE 1550
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City | ATLANTA
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State | GA
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Zip | 30308
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Country | US
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Telephone | 404-892-2131
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Fax | 404-215-9222
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 023154
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License Number State | GA
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