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General NPI Number Information
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NPI Number | 1497724330
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Entity Type | Individual
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Provider Name | DANTE C ADAN MD
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | 750 TOWNPARK LN NW TOWNPARK MEDICAL CENTER DEPT OF PEDIATRICS
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City | KENNESAW
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State | GA
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Zip | 30144-5579
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Country | US
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Telephone | 770-514-5401
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Fax |
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Provider Business Mailing Address
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Address Line | 3495 PIEDMONT RD NE NINE PIEDMONT CENTER
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City | ATLANTA
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State | GA
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Zip | 30305-1717
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Country | US
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Telephone | 404-949-5019
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Fax | 404-364-4985
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 056952
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License Number State | GA
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