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General NPI Number Information
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NPI Number | 1497723860
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Entity Type | Individual
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Provider Name | DR. CLARE MARIE BABINO
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Gender | Female
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 09/10/2008
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Provider Practice Location Address
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Address Line | 1611 SANDS PL SE
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City | MARIETTA
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State | GA
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Zip | 30067-8785
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Country | US
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Telephone | 770-541-2122
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Fax | 770-541-2229
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Provider Business Mailing Address
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Address Line | 2804 MITCHELL DRIVE
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City | ATLANTA
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State | GA
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Zip | 31197
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Country | US
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Telephone | 404-350-9262
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 031197
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License Number State | GA
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