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General NPI Number Information
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NPI Number | 1356345011
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Entity Type | Individual
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Provider Name | MICHAEL R GALAMBOS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 95 COLLIER RD NW STE 4085
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City | ATLANTA
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State | GA
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Zip | 30309-1750
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Country | US
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Telephone | 404-355-3200
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Fax | 404-355-9819
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Provider Business Mailing Address
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Address Line | 95 COLLIER RD NW STE 4075
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City | ATLANTA
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State | GA
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Zip | 30309-1751
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Country | US
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Telephone | 404-603-3543
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Fax | 404-350-8795
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 030064
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License Number State | GA
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