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General NPI Number Information
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NPI Number | 1588661623
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Entity Type | Individual
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Provider Name | JEFFRIE L KAMEAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 03/04/2013
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Provider Practice Location Address
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Address Line | 2675 NORTH DECATUR ROAD SUITE 305
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City | DECATUR
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State | GA
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Zip | 30033-6125
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Country | US
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Telephone | 404-299-8320
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Fax | 404-299-3478
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Provider Business Mailing Address
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Address Line | PO BOX 88587
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City | DUNWOODY
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State | GA
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Zip | 30356-8587
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Country | US
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Telephone | 404-299-8320
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Fax | 404-299-3478
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 40115
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License Number State | GA
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