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General NPI Number Information
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NPI Number | 1366185696
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Entity Type | Organization
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Legal Business Name | REPRODUCTIVE ENDOCRINOLOGY & GYNECOLOGY
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 1800 PEACHTREE ST NW STE 640
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City | ATLANTA
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State | GA
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Zip | 30309-2555
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Country | US
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Telephone | 404-370-1817
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Fax | 404-591-8909
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Provider Business Mailing Address
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Address Line | 1105 COLQUITT AVE NE
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City | ATLANTA
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State | GA
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Zip | 30307-1921
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Country | US
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Telephone | 404-370-1817
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Fax | 404-591-8909
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Authorized Official
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Title or Position | OWNER
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Name | CAROLYN R KAPLAN
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Credential | MD
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Telephone | 404-370-1817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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