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General NPI Number Information
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NPI Number | 1457512261
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Entity Type | Organization
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Legal Business Name | THE WORLD OF PEDIATRICS
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 04/17/2012
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Provider Practice Location Address
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Address Line | 3005 ROYAL BLVD S SUITE 110
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City | ALPHARETTA
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State | GA
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Zip | 30022-1409
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Country | US
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Telephone | 770-442-5437
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Fax | 770-674-3777
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Provider Business Mailing Address
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Address Line | 3005 ROYAL BLVD S SUITE 110
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City | ALPHARETTA
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State | GA
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Zip | 30022-1409
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Country | US
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Telephone | 770-442-5437
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Fax | 770-674-3777
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Authorized Official
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Title or Position | DOCTOR
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Name | LYUDMILA VAYMAN
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Credential | M.D.
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Telephone | 770-442-5437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 027318
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License Number State | GA
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