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General NPI Number Information
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NPI Number | 1598737421
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Entity Type | Individual
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Provider Name | DIMITRI CARLOS CASSIMATIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/04/2006
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Last Update Date | 08/26/2015
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Provider Practice Location Address
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Address Line | 550 PEACHTREE ST NE 6TH FLOOR MOT - CARDIOLOGY
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City | ATLANTA
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State | GA
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Zip | 30308-2208
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Country | US
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Telephone | 404-686-2508
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Fax | 404-686-5764
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Provider Business Mailing Address
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Address Line | 550 PEACHTREE ST NE 6TH FLOOR MOT - CARDIOLOGY
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City | ATLANTA
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State | GA
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Zip | 30308-2208
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Country | US
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Telephone | 404-686-2508
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Fax | 404-686-5764
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 063839
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME105806
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License Number State | FL
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