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General NPI Number Information
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NPI Number | 1497857841
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Entity Type | Individual
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Provider Name | DAVID ARNEL RAGAN DO MPH
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Gender | Male
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 09/28/2010
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Provider Practice Location Address
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Address Line | 610 PEACHTREE PARKWAY SUITE 201
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City | CUMMING
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State | GA
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Zip | 30041-9712
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Country | US
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Telephone | 770-888-2733
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Fax | 770-888-2741
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Provider Business Mailing Address
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Address Line | 610 PEACHTREE PARKWAY SUITE 201
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City | CUMMING
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State | GA
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Zip | 30041-9712
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Country | US
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Telephone | 770-888-2733
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Fax | 770-888-2741
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 033682
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License Number State | GA
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