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General NPI Number Information
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NPI Number | 1447357868
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Entity Type | Organization
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Legal Business Name | CHILDREN'S ANESTHESIOLOGY CONSULTANTS, PC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 993-D JOHNSON FERRY RD. SUITE300
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City | ATLANTA
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State | GA
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Zip | 30342-0858
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Country | US
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Telephone | 404-250-1153
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 420858
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City | ATLANTA
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State | GA
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Zip | 30342-0858
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Country | US
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Telephone | 404-250-1153
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Fax | 404-303-0317
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL STEPHEN WEINSTEIN
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Credential | M.D
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Telephone | 404-250-1153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0033485
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License Number State | GA
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