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General NPI Number Information
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NPI Number | 1679770887
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Entity Type | Individual
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Provider Name | FRANKLIN T VON HACK MD
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Gender | Male
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 696 WINDY HILL RD SE
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City | SMYRNA
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State | GA
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Zip | 30080-1857
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Country | US
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Telephone | 404-321-4692
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Fax | 404-321-4366
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Provider Business Mailing Address
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Address Line | 3369 BUFORD HWY NE SUITE 810
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City | BROOKHAVEN
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State | GA
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Zip | 30329-3722
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Country | US
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Telephone | 404-321-4692
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Fax | 404-321-4366
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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 | 039501
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License Number State | GA
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