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General NPI Number Information
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NPI Number | 1598605883
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Entity Type | Organization
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Legal Business Name | EDUARDO MD LLC
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 110 OAK HILL BLVD STE 100
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City | NEWNAN
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State | GA
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Zip | 30265-2313
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Country | US
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Telephone | 470-742-1832
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Fax | 470-742-1833
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Provider Business Mailing Address
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Address Line | 90 HIGH GARDEN TER
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City | NEWNAN
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State | GA
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Zip | 30263-7000
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Country | US
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Telephone | 470-742-1832
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Fax | 470-742-1833
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROGER EDUARDO
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Credential | MD
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Telephone | 203-500-3957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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