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General NPI Number Information
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NPI Number | 1558504845
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Entity Type | Organization
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Legal Business Name | ATLANTA EMERGENCY MEDICINE LLC
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Dates
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Enumeration Date | 04/16/2009
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Last Update Date | 11/18/2016
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Provider Practice Location Address
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Address Line | 1007 S WILLIAM ST
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City | ATLANTA
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State | TX
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Zip | 75551-3245
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Country | US
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Telephone | 903-799-3205
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 102002
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City | ATLANTA
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State | GA
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Zip | 30368-2002
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Country | US
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Telephone | 904-805-1236
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Fax | 916-330-6930
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Authorized Official
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Title or Position | PRESIDENT
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Name | RUBY F YATES
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Credential | MD
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Telephone | 318-347-6487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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