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General NPI Number Information
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NPI Number | 1346546611
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Entity Type | Organization
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Legal Business Name | R. DARR MCKEOWN, MD, PC
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Dates
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Enumeration Date | 02/04/2011
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Last Update Date | 02/04/2011
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Provider Practice Location Address
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Address Line | 3101 CLAIRMONT RD NE
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City | ATLANTA
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State | GA
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Zip | 30329-1044
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Country | US
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Telephone | 404-982-9992
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Fax |
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Provider Business Mailing Address
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Address Line | 2384 MONTVIEW DR NW
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City | ATLANTA
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State | GA
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Zip | 30305-4071
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | R. DARR MCKEOWN
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Credential | MD
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Telephone | 404-982-9992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 025636
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License Number State | GA
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