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General NPI Number Information
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NPI Number | 1437509643
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Entity Type | Individual
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Provider Name | STEVEN JOSEPH DE GROOT JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/18/2016
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 2001 PEACHTREE RD NE STE 705
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City | ATLANTA
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State | GA
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Zip | 30309-1476
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Country | US
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Telephone | 404-355-0743
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Fax | 855-270-3558
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Provider Business Mailing Address
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Address Line | 2001 PEACHTREE RD NE STE 705
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City | ATLANTA
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State | GA
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Zip | 30309-1476
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Country | US
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Telephone | 404-355-0743
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Fax | 855-270-3558
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 99323
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License Number State | GA
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