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General NPI Number Information
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NPI Number | 1679527063
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Entity Type | Individual
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Provider Name | CLARO TESORO PALMA MD
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 07/08/2019
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Provider Practice Location Address
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Address Line | 822 INDUSTRIAL BLVD STE 100
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City | ELLIJAY
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State | GA
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Zip | 30540-3804
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Country | US
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Telephone | 706-515-7030
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Fax |
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Provider Business Mailing Address
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Address Line | 2727 PACES FERRY RD SE STE 1-1100
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City | ATLANTA
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State | GA
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Zip | 30339-6151
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Country | US
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Telephone | 470-271-3418
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 82720
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License Number State | GA
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