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General NPI Number Information
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NPI Number | 1538727524
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Entity Type | Organization
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Legal Business Name | FRESENIUS MEDICAL CARE NORTHEAST ATLANTA, LLC
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 2886 MEMORIAL DR SE
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City | ATLANTA
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State | GA
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Zip | 30317-3317
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Country | US
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Telephone | 404-377-1316
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Fax | 404-377-8587
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Provider Business Mailing Address
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Address Line | 2886 MEMORIAL DR SE
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City | ATLANTA
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State | GA
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Zip | 30317-3317
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Country | US
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Telephone | 404-377-1316
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Fax | 404-377-8587
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | BARRY BLANTON
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Credential |
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Telephone | 781-676-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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