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General NPI Number Information
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NPI Number | 1598879108
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Entity Type | Individual
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Provider Name | STEPHEN M BARNETT M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 06/28/2022
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Provider Practice Location Address
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Address Line | 105 COLLIER RD NW SUITE 1020
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City | ATLANTA
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State | GA
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Zip | 30309-1710
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Country | US
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Telephone | 404-351-2112
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Fax | 404-351-7211
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Provider Business Mailing Address
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Address Line | 3525 PIEDMONT RD NE BLDG 7 SUITE 601
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City | ATLANTA
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State | GA
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Zip | 30305-1578
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Country | US
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Telephone | 404-842-5400
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Fax | 404-848-8669
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 015350
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License Number State | GA
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