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General NPI Number Information
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NPI Number | 1346688124
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Entity Type | Organization
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Legal Business Name | PIEDMONT NEPHROLOGY AND INTERNAL MEDICINE, LLC
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Dates
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Enumeration Date | 06/13/2013
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Last Update Date | 06/13/2013
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Provider Practice Location Address
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Address Line | 1365 ROCK QUARRY RD SUITE 100
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-5029
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Country | US
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Telephone | 404-355-7375
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Fax | 404-856-7892
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Provider Business Mailing Address
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Address Line | 35 COLLIER RD NW SUITE 610
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City | ATLANTA
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State | GA
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Zip | 30309-1613
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Country | US
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Telephone | 404-355-7375
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Fax | 404-856-7892
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Authorized Official
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Title or Position | MEMBER
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Name | MICHAEL KATZ
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Credential | MD
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Telephone | 404-917-1609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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