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General NPI Number Information
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NPI Number | 1407249444
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Entity Type | Individual
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Provider Name | KAREN LANG
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Gender | Female
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Dates
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Enumeration Date | 03/16/2015
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Last Update Date | 03/16/2015
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Provider Practice Location Address
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Address Line | 11 DUNWOODY PARK SUITE 120
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City | DUNWOODY
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State | GA
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Zip | 30338-7408
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Country | US
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Telephone | 404-695-0905
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Fax |
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Provider Business Mailing Address
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Address Line | 1029 SANS SOUCI WAY
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City | CLARKSTON
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State | GA
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Zip | 30021-2732
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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 |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 352
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License Number State | GA
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