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General NPI Number Information
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NPI Number | 1457537003
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Entity Type | Individual
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Provider Name | DAVID LABORDE MD
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Gender | Male
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 1364 CLIFTON RD, NE EMORY UNIVERSITY HOSPITAL
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City | ATLANTA
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State | GA
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Zip | 30322
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Country | US
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Telephone | 404-686-1000
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Fax | 404-920-3484
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Provider Business Mailing Address
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Address Line | EMORY NEUROSURGERY C/O JENNIFER O'NEIL 1365B CLIFTON RD, NE, TEC B6200, MAIL STOP 2260-001-1AA
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City | ATLANTA
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State | GA
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Zip | 30322-0001
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Country | US
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Telephone | 404-778-5969
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Fax | 404-920-3484
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 001572
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License Number State | GA
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