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General NPI Number Information
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NPI Number | 1366589749
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Entity Type | Individual
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Provider Name | NANCY ELLEN ROSENSTEIN MESSONNIER M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1600 CLIFTON RD NE
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City | ATLANTA
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State | GA
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Zip | 30329-4018
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Country | US
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Telephone | 404-639-4734
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Fax | 404-639-3059
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Provider Business Mailing Address
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Address Line | 202 JOHNSTON PLACE
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City | DECATUR
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State | GA
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Zip | 30030-3539
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Country | US
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Telephone | 404-687-0908
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Fax |
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | MD 053633L
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License Number State | PA
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