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General NPI Number Information
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NPI Number | 1396813838
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Entity Type | Individual
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Provider Name | ADAM B. GREENBAUM M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 08/22/2018
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Provider Practice Location Address
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Address Line | EMORY UNIVERSITY HOSPITAL 1364 CLIFTON RD NE
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City | ATLANTA
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State | GA
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Zip | 30322
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Country | US
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Telephone | 313-916-9106
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Fax | 313-916-1249
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Provider Business Mailing Address
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Address Line | EMORY HEALTHCARE 1364 CLIFTON RD NE SUITE D422
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City | ATLANTA
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State | GA
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Zip | 30322-0001
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Country | US
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Telephone | 404-712-7667
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Fax | 404-712-5622
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 059304
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 080063
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 059304
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 080063
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License Number State | GA
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