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General NPI Number Information
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NPI Number | 1578530325
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Entity Type | Organization
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Legal Business Name | ALPHACARE MEDICAL CENTER, PC
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Dates
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Enumeration Date | 03/01/2006
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Last Update Date | 09/29/2010
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Provider Practice Location Address
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Address Line | 1865 LOCKEWAY DR SUITE 603
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City | ALPHARETTA
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State | GA
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Zip | 30004-5928
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Country | US
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Telephone | 770-752-8440
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Fax | 770-752-8990
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Provider Business Mailing Address
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Address Line | 1865 LOCKEWAY DR STE 603
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City | ALPHARETTA
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State | GA
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Zip | 30004-5938
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Country | US
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Telephone | 770-752-8440
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Fax | 770-752-8990
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Authorized Official
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Title or Position | M.D.
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Name | DR. MARIAM LATIF
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Credential |
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Telephone | 770-752-8440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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