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General NPI Number Information
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NPI Number | 1639121718
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Entity Type | Organization
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Legal Business Name | ALAN M HARBEN MD PHD
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 08/24/2007
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Provider Practice Location Address
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Address Line | 11775 POINTE PL SUITE 103
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City | ROSWELL
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State | GA
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Zip | 30076-4636
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Country | US
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Telephone | 770-619-0010
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Fax | 770-664-6511
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Provider Business Mailing Address
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Address Line | PO BOX 724928
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City | ATLANTA
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State | GA
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Zip | 31139-9028
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Country | US
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Telephone | 678-838-1585
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Fax | 678-838-1587
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | TRISHA MOORE
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Credential |
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Telephone | 770-619-0010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 029664
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License Number State | GA
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