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General NPI Number Information
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NPI Number | 1639277049
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Entity Type | Individual
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Provider Name | JOYCE FRIMPONG KORAM M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/06/2010
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Provider Practice Location Address
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Address Line | 2505 DALLAS HWY. KAISER PERMANENTE NORTHWEST COBB MEDICAL OFFICE
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City | MARIETTA
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State | GA
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Zip | 30064
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Country | US
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Telephone | 770-792-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 3495 PIEDMONT ROAD NE NINE PIEDMONT CENTER
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City | ATLANTA
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State | GA
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Zip | 30305
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Country | US
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Telephone | 404-364-7070
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Fax |
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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 | 053253
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 053253
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License Number State | GA
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