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General NPI Number Information
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NPI Number | 1598796195
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Entity Type | Organization
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Legal Business Name | ATLANTA ALLERGY & ASTHMA CLINIC PA
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 2045 PEACHTREE RD NE STE 800
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City | ATLANTA
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State | GA
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Zip | 30309-1412
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Country | US
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Telephone | 709-533-3331
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Fax | 770-615-6091
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Provider Business Mailing Address
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Address Line | PO BOX 23662
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City | NEW YORK
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State | NY
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Zip | 10087-3662
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Country | US
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Telephone | 770-953-3331
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Fax | 770-615-6091
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | JENNIFER HENDRICKS
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Credential |
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Telephone | 678-457-9615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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