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General NPI Number Information
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NPI Number | 1467248922
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Entity Type | Individual
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Provider Name | GREGORY DYLAN ENGEL
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Gender | Male
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 1000 JOHNSON FERRY RD
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City | ATLANTA
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State | GA
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Zip | 30342-1606
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Country | US
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Telephone | 404-851-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 27511 HUNTER CREEK CT
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City | SPRING
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State | TX
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Zip | 77386-4147
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Country | US
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Telephone | 832-205-1028
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 13531
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License Number State | GA
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