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General NPI Number Information
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NPI Number | 1699633305
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Entity Type | Organization
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Legal Business Name | GASTROCARE ENDOSCOPY CENTER-MADISON LLC
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 2151 EATONTON RD BLDG C
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City | MADISON
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State | GA
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Zip | 30650-5088
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Country | US
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Telephone | 404-282-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 2151 EATONTON RD BLDG C
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City | MADISON
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State | GA
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Zip | 30650-5088
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Country | US
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Telephone | 404-282-5600
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID SOCOLOFF
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Credential | DO
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Telephone | 404-282-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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