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General NPI Number Information
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NPI Number | 1720368814
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Entity Type | Organization
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Legal Business Name | ROPHE MEDICS CLINIC
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Dates
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Enumeration Date | 08/22/2011
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Last Update Date | 05/14/2013
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Provider Practice Location Address
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Address Line | 3001 SOUTH COBB DRIVE SIUTE 205
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City | SMYRNA
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State | GA
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Zip | 30080
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Country | US
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Telephone | 678-309-9977
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Fax | 678-309-9973
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Provider Business Mailing Address
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Address Line | 3001 SOUTH COBB DRIVE SIUTE 205
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City | SMYRNA
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State | GA
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Zip | 30080
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Country | US
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Telephone | 678-309-9977
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Fax | 678-309-9973
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Authorized Official
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Title or Position | CEO
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Name | DR. AFOLAKE MOBOLAJI
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Credential | MD
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Telephone | 678-309-9977
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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 | 064805
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License Number State | GA
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