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General NPI Number Information
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NPI Number | 1548308513
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Entity Type | Organization
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Legal Business Name | DENNIS SURGIAL CENTER
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3193 HOWELL MILL RD NW SUITE 215
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City | ATLANTA
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State | GA
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Zip | 30327-2119
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Country | US
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Telephone | 404-355-1312
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Fax | 404-352-2798
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Provider Business Mailing Address
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Address Line | 3193 HOWELL MILL RD NW SUITE 215
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City | ATLANTA
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State | GA
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Zip | 30327-2119
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Country | US
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Telephone | 404-355-1312
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Fax | 404-352-2798
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DONALD P DENNIS
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Credential | MD
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Telephone | 404-355-1312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 060-043
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License Number State | GA
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