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General NPI Number Information
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NPI Number | 1457919987
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Entity Type | Individual
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Provider Name | MATTHEW JOSEPH GIORDANO DMD
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Gender | Male
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Dates
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Enumeration Date | 05/30/2019
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Last Update Date | 02/19/2020
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Provider Practice Location Address
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Address Line | 3525 PIEDMONT RD NE BLDG 5-408
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City | ATLANTA
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State | GA
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Zip | 30305-1586
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Country | US
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Telephone | 404-233-1102
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Fax |
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Provider Business Mailing Address
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Address Line | 170 BOULEVARD SE APT D203
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City | ATLANTA
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State | GA
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Zip | 30312-2372
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Country | US
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Telephone | 734-634-5406
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN015833
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License Number State | GA
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