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General NPI Number Information
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NPI Number | 1669253795
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Entity Type | Organization
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Legal Business Name | ATLANTA EMBOLIZATION CENTERS PC
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Dates
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Enumeration Date | 10/13/2023
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 5505 PEACHTREE DUNWOODY RD STE 370
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City | ATLANTA
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State | GA
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Zip | 30342-1713
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Country | US
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Telephone | 678-468-0419
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Fax |
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Provider Business Mailing Address
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Address Line | 905 JUNIPER ST NE UNIT 708
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City | ATLANTA
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State | GA
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Zip | 30309-4135
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Country | US
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Telephone | 678-468-0419
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SENDHIL KUMAR SUBRAMANIAN
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Credential | MD
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Telephone | 678-468-0419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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