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General NPI Number Information
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NPI Number | 1518919356
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Entity Type | Organization
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Legal Business Name | ATLANTA CARDIOLOGY CONSULTANTS, PC
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 02/24/2023
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Provider Practice Location Address
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Address Line | 3905 BROOKSIDE PKWY STE 202
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City | ALPHARETTA
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State | GA
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Zip | 30022-4425
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Country | US
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Telephone | 770-751-9131
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Fax | 770-751-9132
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Provider Business Mailing Address
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Address Line | 3905 BROOKSIDE PKWY STE 202
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City | ALPHARETTA
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State | GA
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Zip | 30022-4425
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Country | US
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Telephone | 770-751-9131
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Fax | 770-751-9132
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Authorized Official
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Title or Position | PHYSICIAN
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Name | THOMAS S BACKER
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Credential | MD
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Telephone | 770-751-9131
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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 | 030711
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License Number State | GA
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