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General NPI Number Information
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NPI Number | 1730181777
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Entity Type | Individual
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Provider Name | RICHARD HOWARD PIKE MD
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Gender | Male
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 02/14/2017
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Provider Practice Location Address
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Address Line | 2400 MT. ZION PARKWAY KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
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City | JONESBORO
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State | GA
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Zip | 30236
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Country | US
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Telephone | 404-355-0743
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Fax | 404-943-0641
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Provider Business Mailing Address
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Address Line | 3495 PIEDMONT ROAD, NE NINE PIEDMONT CENTER
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City | ATLANTA
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State | GA
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Zip | 30305
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Country | US
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Telephone | 404-504-5678
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Fax | 404-355-2136
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 047640
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 047640
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License Number State | GA
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