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General NPI Number Information
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NPI Number | 1598941130
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Entity Type | Organization
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Legal Business Name | CARDIOLOGY CONSULTANTS OF ATLANTA
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | 2801 N DECATUR RD SUITE 395
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City | DECATUR
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State | GA
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Zip | 30033-5949
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Country | US
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Telephone | 404-298-2220
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Fax | 678-904-5336
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Provider Business Mailing Address
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Address Line | 2801 NORTH DECATUR ROAD SUITE 395
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City | DECATUR
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State | GA
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Zip | 30033
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Country | US
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Telephone | 404-298-2220
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Fax | 678-904-5336
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JEFFREY HOWARD
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Credential | MD
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Telephone | 404-298-2220
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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 | 050480
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License Number State | GA
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