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General NPI Number Information
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NPI Number | 1427274968
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Entity Type | Organization
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Legal Business Name | VINCENT N. ZUBOWICZ, M.D., P.C.
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 365 E PACES FERRY RD NE
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City | ATLANTA
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State | GA
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Zip | 30305-2351
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Country | US
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Telephone | 404-814-1100
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Fax | 404-814-0015
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Provider Business Mailing Address
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Address Line | 365 E PACES FERRY RD NE
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City | ATLANTA
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State | GA
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Zip | 30305-2351
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Country | US
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Telephone | 404-814-1100
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Fax | 404-814-0015
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. JULIE CAMP BENNEFIELD
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Credential |
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Telephone | 404-814-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 18980
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License Number State | GA
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