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General NPI Number Information
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NPI Number | 1376569467
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Entity Type | Organization
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Legal Business Name | GASTROENTEROLOGY SPECIALISTS OF AUGUSTA, PC
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 09/26/2011
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Provider Practice Location Address
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Address Line | 1265 INTERSTATE PKWY # A
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City | AUGUSTA
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State | GA
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Zip | 30909-6481
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Country | US
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Telephone | 706-860-6030
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Fax | 706-868-8507
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Provider Business Mailing Address
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Address Line | PO BOX 14220
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City | AUGUSTA
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State | GA
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Zip | 30919-0220
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Country | US
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Telephone | 706-860-6030
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Fax | 706-868-8507
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAMZI T ASSAD
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Credential | M.D.
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Telephone | 706-860-6030
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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 |
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License Number State |
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