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General NPI Number Information
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NPI Number | 1467407387
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Entity Type | Organization
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Legal Business Name | BRENT ALAN CALE, M.D., PC
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3101 US HIGHWAY 280
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City | AILEY
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State | GA
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Zip | 30410-3659
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Country | US
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Telephone | 706-228-2535
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Fax | 706-228-3433
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Provider Business Mailing Address
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Address Line | PO BOX 1645
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City | AUGUSTA
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State | GA
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Zip | 30903-1645
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Country | US
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Telephone | 706-228-2535
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Fax | 706-228-3433
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | BRENT ALAN CALE
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Credential | M.D.
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Telephone | 706-228-2535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 054256
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License Number State | GA
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