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General NPI Number Information
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NPI Number | 1669591756
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Entity Type | Organization
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Legal Business Name | AWS PHYSICIANS, PC
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 5445 MERIDIAN MARKS RD NE SUITE 350
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City | ATLANTA
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State | GA
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Zip | 30342-4763
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Country | US
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Telephone | 404-252-5196
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Fax | 404-252-2414
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Provider Business Mailing Address
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Address Line | 5445 MERIDIAN MARKS RD NE SUITE 350
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City | ATLANTA
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State | GA
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Zip | 30342-4763
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Country | US
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Telephone | 404-252-5196
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Fax | 404-252-2414
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. YVETTE M SMITH
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Credential | MD
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Telephone | 404-252-5196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 035294
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 042776
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 042010
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 050217
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 051032
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 057039
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 061194
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License Number State | GA
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Taxonomy #8
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 061197
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License Number State | GA
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Taxonomy #9
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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