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General NPI Number Information
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NPI Number | 1598860298
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Entity Type | Individual
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Provider Name | HOGAI G NASSERY M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 11/13/2017
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Provider Practice Location Address
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Address Line | 10 PARK PLACE SOUTH SE # 445
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City | ATLANTA
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State | GA
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Zip | 30303-2913
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Country | US
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Telephone | 404-613-1242
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Fax | 404-612-2285
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Provider Business Mailing Address
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Address Line | 10 PARK PLACE SOUTH SE # 445
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City | ATLANTA
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State | GA
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Zip | 30303-2913
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Country | US
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Telephone | 404-613-1242
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Fax | 404-612-2285
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 43718
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License Number State | GA
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