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General NPI Number Information
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NPI Number | 1548384738
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Entity Type | Organization
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Legal Business Name | ATLANTA OPHTHALMOLOGY ASSOCIATES PC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 993 D JOHNSON FERRY RD SUITE 250
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City | ATLANTA
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State | GA
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Zip | 30342
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Country | US
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Telephone | 404-252-1194
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Fax | 404-252-3150
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Provider Business Mailing Address
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Address Line | 993 D JOHNSON FERRY RD SUITE 250
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City | ATLANTA
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State | GA
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Zip | 30342
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Country | US
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Telephone | 404-252-1194
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Fax | 404-252-3150
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Authorized Official
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Title or Position | PARTNER
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Name | DR. DAVID A PALAY
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Credential | MD
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Telephone | 404-252-1194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | GA030728
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License Number State | GA
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