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General NPI Number Information
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NPI Number | 1699447904
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Entity Type | Organization
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Legal Business Name | ATLANTA NEUROPATHY CLINIC
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Dates
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Enumeration Date | 10/05/2021
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Last Update Date | 02/04/2024
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Provider Practice Location Address
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Address Line | 1872 INDEPENDENCE SQ STE A
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City | DUNWOODY
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State | GA
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Zip | 30338-5170
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Country | US
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Telephone | 678-218-8115
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Fax | 877-247-9857
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Provider Business Mailing Address
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Address Line | 2845 TOWNLEY CIR
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City | ATLANTA
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State | GA
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Zip | 30340-4825
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Country | US
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Telephone | 678-218-8115
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MS. DENISE MILLER-TSO
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Credential | NP
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Telephone | 678-218-8115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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