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General NPI Number Information
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NPI Number | 1356590269
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Entity Type | Individual
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Provider Name | SYBILE VAL M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/16/2008
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Last Update Date | 10/25/2018
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Provider Practice Location Address
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Address Line | 1100 JOHNSON FY RD NE STE 850
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City | ATLANTA
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State | GA
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Zip | 30342-1733
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Country | US
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Telephone | 470-381-6500
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Fax | 470-381-6503
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Provider Business Mailing Address
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Address Line | 33 UPPER RIVERDALE RD SW STE 112
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City | RIVERDALE
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State | GA
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Zip | 30274-2626
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Country | US
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Telephone | 770-996-3190
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Fax | 770-996-3529
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 072839
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License Number State | GA
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