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General NPI Number Information
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NPI Number | 1669533113
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Entity Type | Individual
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Provider Name | ARNALDO M JIMENEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 4700 NELSON BROGDON BLVD SUITE 200
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City | BUFORD
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State | GA
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Zip | 30518-5400
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Country | US
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Telephone | 678-546-2929
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Fax | 678-546-2921
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Provider Business Mailing Address
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Address Line | 100 COBBLESTONE WAY
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City | ALPHARETTA
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State | GA
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Zip | 30009-6805
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Country | US
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Telephone | 678-546-2929
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Fax | 678-546-2921
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MA61111
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License Number State | NJ
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