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General NPI Number Information
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NPI Number | 1427790575
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Entity Type | Organization
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Legal Business Name | PIEDMONT EASTSIDE RHEUMATOLOGY, LLC
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Dates
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Enumeration Date | 04/09/2022
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Last Update Date | 04/09/2022
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Provider Practice Location Address
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Address Line | 2121 FOUNTAIN DR
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City | SNELLVILLE
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State | GA
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Zip | 30078-7023
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Country | US
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Telephone | 470-725-9658
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 FOUNTAIN DR
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City | SNELLVILLE
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State | GA
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Zip | 30078-7023
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Country | US
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Telephone | 901-283-4347
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ALOICE O. ALUOCH
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Credential | MD, PHD
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Telephone | 470-725-9658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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