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General NPI Number Information
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NPI Number | 1609023761
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Entity Type | Organization
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Legal Business Name | EMORY JOHNS CREEK CARDIAC DIAGNOSTICS
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Dates
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Enumeration Date | 08/20/2008
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Last Update Date | 08/21/2008
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Provider Practice Location Address
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Address Line | 10700 MEDLOCK BRIDGE RD SUITE 101
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City | JOHNS CREEK
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State | GA
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Zip | 30097-8456
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Country | US
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Telephone | 678-957-9935
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Fax | 678-957-9954
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Provider Business Mailing Address
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Address Line | 10700 MEDLOCK BRIDGE RD SUITE 101
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City | JOHNS CREEK
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State | GA
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Zip | 30097-8456
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Country | US
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Telephone | 678-957-9935
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Fax | 678-957-9954
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Authorized Official
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Title or Position | DIRECTOR
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Name | KATHI LANGLOIS
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Credential | RN
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Telephone | 678-957-9935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 0800003824
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License Number State | GA
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