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General NPI Number Information
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NPI Number | 1346298213
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Entity Type | Individual
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Provider Name | DENNIS E CHOAT MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 1265 HIGHWAY 54 W STE 500B
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-4556
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Country | US
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Telephone | 770-719-5660
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Fax |
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Provider Business Mailing Address
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Address Line | 1260 HIGHWAY 54 W STE 100
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-4514
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Country | US
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Telephone | 770-277-4277
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Fax | 770-716-8690
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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 | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 039069
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License Number State | GA
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