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General NPI Number Information
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NPI Number | 1457443137
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Entity Type | Organization
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Legal Business Name | PEACHTREE NEUROLOGY ASSOCIATES, P.C.
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 09/01/2020
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Provider Practice Location Address
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Address Line | 5730 GLENRIDGE DR STE 220
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City | ATLANTA
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State | GA
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Zip | 30328-5579
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Country | US
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Telephone | 404-255-5330
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Fax | 404-255-5416
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Provider Business Mailing Address
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Address Line | PO BOX 420297
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City | ATLANTA
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State | GA
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Zip | 30342-0297
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Country | US
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Telephone | 404-255-5330
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Fax | 404-255-5416
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Authorized Official
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Title or Position | OWNER
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Name | RAMON M SANCHEZ
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Credential | M.D.
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Telephone | 404-255-5330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 033442
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License Number State | GA
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