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General NPI Number Information
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NPI Number | 1376715995
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Entity Type | Organization
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Legal Business Name | PIEDMONT PAIN CONSULTANTS, P.C.
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 3200 DOWNWOOD CIR NW SUITE 550
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City | ATLANTA
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State | GA
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Zip | 30327-1610
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Country | US
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Telephone | 404-354-5660
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 49282
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City | ATLANTA
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State | GA
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Zip | 30056-1282
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ALLEN H HORD
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Credential | M.D.
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Telephone | 404-354-5660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 027828
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License Number State | GA
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