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General NPI Number Information
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NPI Number | 1508232364
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Entity Type | Organization
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Legal Business Name | CONCEPTS MANAGEMENT, LLC
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Dates
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Enumeration Date | 08/17/2015
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Last Update Date | 08/17/2015
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Provider Practice Location Address
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Address Line | 5885 GLENRIDGE DR SUITE 200
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City | ATLANTA
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State | GA
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Zip | 30328-5512
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Country | US
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Telephone | 404-567-6608
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Fax | 866-539-7164
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Provider Business Mailing Address
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Address Line | 860 JOHNSON FERRY RD SUITE 140-107
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City | ATLANTA
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State | GA
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Zip | 30342-1435
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Country | US
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Telephone | 404-567-6608
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Fax | 866-539-7164
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | DR. CHRISTOPHER CATALANO
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Credential | D.C.
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Telephone | 404-840-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 61081
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License Number State | GA
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