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General NPI Number Information
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NPI Number | 1356374847
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Entity Type | Organization
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Legal Business Name | EMORY EYE CENTER
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 08/28/2007
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Provider Practice Location Address
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Address Line | 1365 CLIFTON RD NE SUITE B-3402
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City | ATLANTA
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State | GA
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Zip | 30322-1013
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Country | US
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Telephone | 404-778-4120
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Fax | 404-778-4380
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Provider Business Mailing Address
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Address Line | 1205 MCCONNELL DR
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City | DECATUR
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State | GA
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Zip | 30033-3501
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Country | US
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Telephone | 404-315-0501
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Fax |
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Authorized Official
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Title or Position | OPHTHALMOLOGIST
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Name | MS. JIONG YAN
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Credential | M.D.
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Telephone | 404-778-4120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number |
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License Number State |
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