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General NPI Number Information
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NPI Number | 1437485489
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Entity Type | Organization
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Legal Business Name | WTW PHYSICIAN SERVICES, LLC
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Dates
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Enumeration Date | 10/27/2009
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Last Update Date | 10/27/2009
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Provider Practice Location Address
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Address Line | 185 ELVAN AVE NE
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City | ATLANTA
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State | GA
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Zip | 30317-1357
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Country | US
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Telephone | 678-413-7738
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Fax |
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Provider Business Mailing Address
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Address Line | 185 ELVAN AVE NE
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City | ATLANTA
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State | GA
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Zip | 30317-1357
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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 | PRESIDENT
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Name | DR. MICHAEL ROBINOWITZ
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Credential | MD
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Telephone | 678-413-7738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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