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General NPI Number Information
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NPI Number | 1528043718
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Entity Type | Organization
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Legal Business Name | RADIOLOGY ASSOCIATES OF ATLANTA, PA
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Dates
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Enumeration Date | 12/09/2005
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Last Update Date | 08/08/2012
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Provider Practice Location Address
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Address Line | 1968 PEACHTREE RD NW ATTN: RADIOLOGY DEPT
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City | ATLANTA
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State | GA
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Zip | 30309-1281
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Country | US
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Telephone | 404-352-1409
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Fax | 404-352-8176
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Provider Business Mailing Address
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Address Line | 1984 PEACHTREE RD NW SUITE 505
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City | ATLANTA
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State | GA
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Zip | 30309-5219
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Country | US
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Telephone | 404-352-1409
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Fax | 404-352-8176
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT M HALPER
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Credential | MD
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Telephone | 404-352-1409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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