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General NPI Number Information
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NPI Number | 1396970109
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Entity Type | Organization
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Legal Business Name | OBSTETRIX MEDICAL GROUP OF ATLANTA, LLC
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Dates
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Enumeration Date | 05/22/2009
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 1938 PEACHTREE ROAD SUITE 303
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City | ATLANTA
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State | GA
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Zip | 30309-1281
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Country | US
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Telephone | 404-352-5119
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Fax | 404-352-5330
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Provider Business Mailing Address
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Address Line | 1301 CONCORD TER
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City | SUNRISE
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State | FL
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Zip | 33323-2843
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Country | US
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Telephone | 800-243-3839
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Fax | 844-686-2961
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Authorized Official
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Title or Position | SECRETARY
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Name | MR. JORGE DEL TORO
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Credential | MD
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Telephone | 954-384-0175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number |
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License Number State |
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