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General NPI Number Information
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NPI Number | 1467500918
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Entity Type | Organization
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Legal Business Name | THE ATLANTA CARDIOLOYG GROUP, PC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 11/16/2007
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Provider Practice Location Address
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Address Line | 1000 COWLES CLINC WAY CYPRESS BLDG, A-300
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City | GREENSBORO
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State | GA
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Zip | 30642-5285
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Country | US
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Telephone | 706-453-9669
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Fax | 706-453-9698
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Provider Business Mailing Address
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Address Line | 1000 COWLES CLINC WAY CYPRESS BLDG, A-300
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City | GREENSBORO
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State | GA
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Zip | 30642-5285
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Country | US
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Telephone | 706-453-9669
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Fax | 706-453-9698
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Authorized Official
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Title or Position | CFO
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Name | JOHN BOWEN
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Credential |
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Telephone | 678-242-1999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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